It may sound pretentious, even a little arrogant, but as a vascular surgeon who has gained a great deal of experience and confidence with both endarterectomy (CEA) and stenting (CAS) over the years, I feel uniquely qualified to express strong views on this, the most important vascular topic of the day. I count myself among a group of ‘senior’ endovascular specialists whose interventional journey began in the 1980s. As such, we had the opportunity to witness and actively participate in a number of significant developments with new technologies and techniques. Some of these, in fact