Purpose: The aim of this study was to evaluate the results of primary stenting for significant focal stenotic lesions of the infra-renal aorta.Background: Focal infra-renal aortic stenosis that demands treatment is relatively infrequent condition. Short stenotic lesions may be amenable for endovascular treatment, while long lesions are traditionally treated withsurgical bypass grafting. Methods: Nine consecutive patients were treated for infra-renal aortic stenotic lesions with primary focal aortic stenting between April 2014 and October 2015 in vascular unit, general surgery department, Benha University and vascular surgery department, Nile Insurance Hospital and vascular surgery department, Ain Shams University. Indications included disabling claudication (n꞊2), blue toe syndrome (n꞊4) or minor tissue loss (n꞊3).Results: This study had technical success 88.9% with clinical and hemodynamic success 100%. 6 months primary patency for focal aortic stents was 100% with complications rate 22.2%.Conclusion: Focal aortic stenotic lesions could be safely managed by endovascular therapy. Primary stenting is associated with improvement of clinical and hemodynamic outcome.