This book is an excellent review of the history of arterial aneurysms and their treatment. Dr Suy, a vascular surgeon and Professor Emeritus at the University of Leuven, Belgium, chose to focus on aneurysms because of their interesting pathology, their long recorded history, and the recent evolution in treatment of these lesions. The book is divided into four chapters, the first of which covers antiquity to the 16th Century. This relatively short chapter describes arterial aneurysms and their treatment in ancient Egypt and India, Greece, the Roman Empire, early Byzantium, and Arabia, as well as the late Middle Ages and the Renaissance. Chapter 2 (16th to mid-19th Centuries) includes early hypotheses concerning the cause and pathogenesis of arterial aneurysms and describes their nonsurgical and surgical treatment. Chapter 3 (mid-19th Century to the present), the longest chapter in the book, describes changing patterns in aneurysmal causes (from syphilitic to atherosclerotic), surgery without repair, open repair with vascular reconstruction, and endovascular repair. Chapter 4 covers aortic dissection and dissecting aneurysms and their treatment, from the 18th Century through the present day. Based on extensive historical research, the book includes 1,020 references, which are a valuable resource in themselves. The text is amply illustrated with early manuscript pages; prints of patients, physicians, surgical equipment, and anatomic features; postage stamps honoring eminent physicians; and photos of lesions, operative techniques, and modern vascular surgeons. I know of no other single work that includes such an extensive collection of historical information about aneurysms. Originally written in English, the book is clear, well organized, and a pleasure to read. I found the early cases and their treatment particularly fascinating. Having a special interest in aneurysm surgery myself, I appreciate the author?s references to my own contributions to this field, along with those of Michael DeBakey, Henry Bahnson, and other 20th Century pioneers. This book will be a superb reference for vascular surgeons, medical students, surgical residents, historians, and anyone else concerned with aneurysms and dissections. I congratulate Suy on producing such an excellent work, which will not soon be surpassed or even equalled.