Because of the arteriosclerotic involvement of the superficial femoral artery, considerable part of the aorto-femoral reconstructions is performed with an anastomosis on the deep femoral artery. Stenosis of the deep femoral artery is usually limited to the bifurcation or to the first part of the artery; therefore the choice of treatment is desobliteration, or bypass below the bifurcation. This article describes a form of reconstruction which is suitable for direct endarterectomy of the deep femoral artery, without vein or plastic patch. The experience and advantages of this method are analysed.