Objectives: The ambulatory endovascular treatment of peripheral arterial occlusive disease (PAOD) remains marginal in France. In 2019, guidelines were published by the French Society for Vascular and Endovascular Surgery to facilitate this practice. However, the development of ambulatory care remains slow and obstacles persist. The objectives of this study were to give an overview of the ambulatory endovascular treatment of PAOD in France and to identify the barriers to its development, according to Material and methods: Between September 2022 and October 2023, the French vascular surgeons (n=654) were approached by the French Society for Vascular and Endovascular Surgery and Vascurisq to answer an online questionnaire on their ambulatory practice of the endovascular treatment of PAOD. The questionnaire, completed on a voluntary basis, focused on the medical and social criteria for selection of patients, the treatment, the follow-up, the number of procedures of performed and the potential barriers. Results: Among the 279 (43%) respondents, 197 (71%) were private surgeons. All of the French regions were represented. 228 surgeons (82%) reported performing endovascular treatment for PAOD in an outpatient setting. 178 surgeons (79%) said that they had not changed their practices because of the ambulatory practice. 172 (75%) used manual compression on an outpatient basis. The patients were on average monitored 4.7±1.5h after the procedure. Social isolation was considered as the main exclusion cause. Conclusion: This study, carried out on almost half of the French vascular surgeons gives an overview of ambulatory practice and of the potential obstacles four years after publication of the guidelines. The medicolegal risks, social isolation and the complexity of the lesions appear as real obstacles to the development of the endovascular treatment of PAOD in an outpatient basis.