The Division of Vascular Surgery at the University of Nebraska Medical Center introduced a fully accredited 2-year independent model ACGME/RRC Vascular Surgery Fellowship program (5+2) in July 2014. Our first fellow began training on July 1, 2016. The program offers a full range of open and endovascular training procedures, non-invasive vascular instruction, neuroendovascular instruction, and complex emergency vascular/endovascular reconstructive procedures, with an estimated total annual case volume of 1200+ procedures. UNMC in partnership with Nebraska Medicine is Nebraska’s only public health science center with six colleges and two public institutes. Nebraska Medicine is a 678 bed, Level I (24/7) trauma center and 39 ambulatory clinics providing comprehensive care for adults and children. Our fellowship program extends training experience with rotations, both first and second year, at the Omaha VA Medical Center.