Direct surgical repair of the aneurysm has been the standard approach for over 50 years. An incision is made in the abdomen, the aneurysm is isolated and opened, and a synthetic graft is sewn to the aorta. The vascular graft is usually made of a polyester type material, and essentially replaces the diseased portion of the aorta. This is a major surgery performed under general anesthesia. Recovery from the operation typically requires 7 to 10 days in the hospital and another 6 to 8 weeks of convalescence at home. Although this is a significant undertaking, results of this operation are generally good, and the chances of further problems are remote.