Vascular surgery is a complex field of surgery. There are many different ways to perform a procedure. There are also multiple options prior to performing an amputation for critical limb ischemia. However, how many attempts at revascularization and the methods used are an essential topic of conversation for the patient and physician. The patient may not want an extended recovery period with limited mobility. Another patient may desire to keep his or her limb, even if it is so infected and may cause death. These are crucial conversations that must be discussed prior to treatment. This is the very essence of Florida Surgical Clinic that is dedicated to caring for patients while understanding their personal values.