Background: The number of abdominal aortic aneurysm (AAA) patients who are potential candidates of endovascular aortic aneurysm repair (EVAR) is continuously increasing. The analysis of data collected and best projections depicted in contrast enhanced spiral multi-slice computed tomography (MSCTA), answers many questions with resultant perpetuation in managing such subset of patients. Aim of the study: To determine a clue about the rate of suitability of EVAR in Egyptian AAA patients and to sort out the anatomical features responsible for unsuitability. In view of the anatomical features depicted, the impact of MSCTA on both device selection and technique chosen was also highlighted. Patients and methods: One hundred AAA patients were studied in the period from 2012 through 2015. MSCTA was used as the basic tool of diagnosis, preoperative planning and sizing using best projections to comment on: Aortic aneurysm neck diameter, neck length, neck angulation, calcifications & thrombus burden and iliac arteries diameter, tortuousity, & patency. The clinical impact of these data on EVAR suitability was evaluated and possible additional endovascular technique for management was proposed. Results: Sixty one patients fulfilling the instructions for use (IFUs) of at least one FDA approved device have been identified as standard EVARsuitable. The remaining 39 patients were not fulfilling the same criteria and thus have been identified as standard EVAR-unsuitable. Unfavorable neck anatomy and iliac artery related factors were incriminated as the most common causes of unsuitability. Seventeen patients were believed to have unsuitability criterion amenable to endovascular management if a more sophisticated device or technique is adopted. Conclusion: The rate of EVAR suitability among Egyptian AAA patients is not far different from those of other populations. MSCTA depicted morphologic criteria are essential not only as a mere indicator of EVAR suitability, but also as a crucial predictor of the ideal device and technique adoption. The ever increasing number of available devices and techniques can guarantee a wider inclusion of AAA patients to lie within the scope of EVAR technology. Key words: Aortic Aneurysm, MSCTA, Aortic Surgery, standard EVAR.