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Endovascular surgery (EV) is ideal for practice on simulators and many models are currently available. We evaluated the first results of our program in a group of six residents beginning their training in vascular surgery. Materials and Methods: Our EV simulation program results from a collaborative project with Stanford University (California, USA) which is based on an evaluation of the various sequences composing an EV procedure according to a grid of evaluation comprising approximately 40 items. The procedures are carried out in a realistic environment reproducing a surgical unit. The simulator used was the ANGIO Mentor Suite (Simbionix) equipped with various modules (iliac, superficial femoral, EVAR). Each procedure was filmed using several cameras in order to evaluate the posture and the gestural of the trainees. After each procedure a ''debriefing'' was carried out so as to reconsider the sequences having generated difficulties and to reinforce the teaching impact. Each resident could take part in eight 2 hours sessions and was evaluated on procedures of increasing difficulty adapted to his skills. The procedures included diagnostic angiography (DA), iliac angioplasty (IA) and superficial femoral (SFA) angioplasty by crossover. At the end of each session, the residents evaluated the teaching content using a questionnaire. Results: Six residents took part in the program. None of them had preliminary experience in EV surgery. The rate of participation in the sessions was 77% (62-100%). The average progression on a scale from 0 to 100 was 24 (9-46) for DA,[35][36][37][38][39][40][41][42] for for the SFA. The global evaluation of the sessions by the residents showed an average score of 4.6/5. Conclusion:The regular practice of simulation according to a standardized and evaluated program improves the performance of the residents on EV procedures. The feeling of the residents was excellent and they were eager to be able to take advantages of simulation sessions. EV training by simulation has a place to train the residents in vascular surgery.