Eversion endarterectomy (EE) with oblique arteriotomy and primary closure is well described for the treatment of extracranial cerebrovascular disease. Longitudinal arteriotomy and closure with patch angioplasty is the standard for ileofemoral occlusive disease (IFOD). A potential drawback of this technique is the introduction of prosthetic material. We herein describe a technique of oblique femoral arteriotomy, EE, and primary closure for the treatment of IFOD and present our series of cases. We propose that this technique can be more broadly applied to the treatment of IFOD.