Endovascular aneurysm repair (EVAR) has changed the landscape of care for abdominal aortic aneurysms (AAA), which constitute a considerable danger to health. In "Evaluating the Long-term Efficacy of Endovascular Aneurysm Repair: A Ten-Year Follow-Up," the long-term robustness and efficacy of EVAR are examined. The backdrop highlights the transition from open surgical repair to minimally invasive EVAR and provides insight into the historical context of AAA therapy. The prevalence of AAA and related risk factors highlights the significance of developing therapeutic methods. A thorough analysis of the development of EVAR is provided, emphasising how technical developments have improved the process. Although there is ample evidence of short-term effectiveness, issues, including device migration and endoleaks, demand long-term examination. The results of this study have implications for both scientific and therapeutic practice. The study's results should guide treatment choices, improve surveillance procedures, and advance the development of vascular treatments. Additionally, by exploring the natural history of aneurysms treated with EVAR, the study hopes to advance scientific understanding and promote ongoing advancements in vascular treatment approaches. Finally, this work begins a key investigation into the long-term effectiveness of EVAR, which has the potential to influence AAA treatment plans and improve patient outcomes. The research's main ideas and expected contributions to the scientific and medical communities are succinctly summarized in the study.