Introduction: Popliteal artery aneurysm is a pathology that appears regularly in daily practice of a vascular surgeon since the popliteal artery is the most common location of aneurysms (about 70%). A rare form of aneurysm of the popliteal artery is a giant aneurysm, the diameter of which is more than 7–8 cm. Giant aneurysms are of a great clinical importance due to the high risk of rupture and complications, and the fact that this pathology has its own peculiarities of surgical treatment.Material and methods: We conducted an electronic bibliographic search Pubmed, Cochrane Library, Wiley to find reports about treatment of giant popliteal aneurysms. According to its results the main features of the clinical picture, diagnosis and treatment of giant popliteal aneurysms have been identified.Results and discussion: Surgical treatment of giant popliteal artery aneurysms differs from the treatment of regular popliteal artery aneurysms and is associated with the choice of adequate access and the need for partial or full resection of the aneurysm. Endovascular treatment methods are used much less frequently, however, with the improvement of techniques and the emergence of new technologies, an increase in number of giant aneurysms successful treatment cases is expected.