Seven bypasses to the malleolar artery were performed on 7 limbs, one with manifestations of intermittent claudication, two with rest pain and four with non-healing ulcers. Cumulative patency rates were 100% and 70% at one month and long-term period (5-41 months), respectively. Two grafts were occluded. Six limbs showed improvement of the clinical symptomes. Bypass to the ankle artery should be sonsidered where the patient is other wise at the risk of losing a limb.