Repair is recommended for patients that present with an AAA and abdominal or back pain (Grade 1, Level A).

Elective repair is recommended for patients that present with a fusiform AAA ≥5.5 cm in maximum diameter, in the absence of significant co-morbidities (Grade 1, Level A).

Elective repair is suggested for patients that present with a saccular aneurysm (Grade 2, Level C).

Surveillance is recommended for most patients with a fusiform AAA in the range of 4.0 cm to 5.4 cm in maximum diameter (Grade 1, Level B).

Young, healthy patients, and especially women, with AAA between 5.0 cm and 5.4 cm in maximum diameter may benefit from repair (Grade 2, Level C).

The benefit of repairing a small aneurysm is uncertain in patients who will require chemotherapy, radiation therapy, or solid organ transplantation (Grade 2, Level C).