Analysed in the article are the long-term outcomes of open reconstructive operations and endovascular interventions performed in patients presenting with occlusive and stenotic lesions of the superficial femoral artery. Between September 1996 and December 2009. a total of 226 open operations and 151 endovascular interventions were carried out in 327 patients suffering from occlusive and stenotic lesions of the superficial femoral artery. The 3-year primary patency rates were as follows: 63.7% in the PTFE-graft-mediated repair group, 77.5% in the group of autovenous bypass grafting, and 52.9% in the group of endovascular operations, with 5-year primary patency amounting to 49.4%, 68.9% and 43.7 %, respectively.