The development of endovascular aortic repair represents one of the most significant paradigm shifts in vascular surgery. While Juan Parodi’s first implantation in Buenos Aires in 1991 is rightly recognised as a pivotal milestone [1], the city of Perth, Western Australia (WA), played a key role in transforming endovascular repair from a concept to a viable therapy. In the 1990s, Professors Michael Lawrence-Brown and David Hartley, together with colleagues including Drs John Anderson and Barry Baker, collaborated with engineer David Gunning to design, test, and refine some of the earliest prototype stent-grafts for abdominal aortic aneurysms [2]. The Perth team leveraged interdisciplinary cooperation and a culture of innovation to overcome considerable technical and logistical barriers. Their first human implantations demonstrated the feasibility of aneurysm exclusion, validating and extending Parodi’s work. This presentation will trace the technical evolution of early stent-graft systems, and highlight the unique environment in Perth that cultivated these advances. By situating Perth’s contributions within the broader global narrative, this presentation will underscore how local WA innovation had profound worldwide impact, laying out the foundation for what is now a standard, life-saving therapy. References 1. Parodi JC, Palmaz JC, Barone HD. Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Ann Vasc Surg. 1991;5(6):491-9. 2. Lawrence-Brown MM, Hartley DE, Anderson J, Gunning D, McAullay G, Sieunarine K, et al. The Perth experience with endoluminal bifurcated grafting of abdominal aortic aneurysms. J Endovasc Surg. 1996;3(2):123-35.