Background: Kasr Alainy, Cairo university teaching hospital, one of the biggest teaching hospital in the middle east with bed capacities around 5200 beds (1) that is located at the center of Cairo. We will review the vascular cases that were served by the vascular team that was on duty one day per week, whether alone or with other teams starting from June 2014 till end of May 2015. Patients and Method: Clinically the patients were categorized into two main categories according to the presenting signs; soft signs and the second category was hard signs. In this study, we have reviewed our experience in dealing with 133 vascular injuries. Results: the most common mode of vascular injury was road traffic accidents 52.4%, the most frequently injured artery was the superficial femoral artery (21.8%), For arterial injuries, interposition autologus long saphenous vein was the most frequently employed surgical technique for treatment of our patients (73/133, 54.9%), with 2 cases had to do amputation. 12 cases (11.7%) out of 103 had postoperative surgical site infection, 8 cases (7.8%) out of 103 cases died. Conclusion: Clinical symptoms and signs are corner stone for surgical teams, Infection is the most common morbidity that can affect any team. Long saphenous vein is the best vascular conduit that you can depend on it with less rate of infection and high patency rate. Fasciotomy is not a routine for peripheral vascular trauma. Key Words: Trauma, Saphenous, fasciotomy