Background: Up to 20-30% of Abdominal Aortic Aneurysms (AAA) have concomitant common iliac artery aneurysms that continues to be troublesome is their management keeping in mind the possible clinical significance of sacrificing the hypogastric arteries (HGAs) for effective AAA treatment. Method: Parallel endograft (sandwich technique) was offered to patients with abdominal aortic aneurysm associated with unilateral or bilateral common iliac artery (CIA) aneurysms with or without hypogastric artery (HGA) aneurysm presented at vascular surgery department, Cairo university hospitals between March 2014 and September 2016. Results: 5 patients underwent parallel endograft endovascular aneurysm repair (PGEVAR) for infra-renal abdominal aortic aneurysms associated with unilateral or bilateral common iliac with or without hypogastric artery aneurysms. Four patients were males (80%), presenting a median age of 77 years (range 66-88 years). The median length of the procedure was 105 minutes (80-210 minutes), fluoroscopy time minutes (15-50 minutes), IV contrast dose 85 mL (50-180 mL), and average estimated blood loss 55 mL (30-400 mL). A total of 6 self expanding covered stents (4 Fluency stents & 2 Viabhan stents) were used with 6 SMART Control self-expanding bare-metal stents for relining to attain better HGA endograft apposition and prevent compression by the ILE. One patient presented with immediate postoperative right arm weakness due to cerebral infarction. Another patient developed postoperative severe respiratory insufficiency due to severe chronic obstructive pulmonary disease. The overall hospital stay was at a median of 3 days (2-20 days). Neither type I nor type III endoleaks were detected at follow up. Only one case showed mild aneurismal sac enlargement at 6 month follow up due to persistent type II endoleak .Follow-up CT and Duplex scans showed patency of all Viabhan and Fluency grafts without instent re-stenosis at a median follow-up of 6 months (range 3-10 months). Conclusion: our limited series indicates that the sandwich technique is a technically safe and effective technique for the preservation of HGA circulation. In our opinion, it has the advantage of expanding the applicability of EVAR for AAA with complex iliac artery anatomies. However, further studies with more long-term data are required to confirm the safety and efficacy of the sandwich technique. Key words: Aneurysms, Parallel graft, Aorto-iliac.