In recent years, an increase in abdominal aortic aneurysm (AAA) diagnosis has been observed, especially in groups of aged people suffering from various concomitant diseases significantly elevating the risk of surgery. Due to this fact, research concerning operative risk evaluation, as well as the safest treatment method, is being conducted. This article describes the advantages and disadvantages of the current treatment methods in infrarenal aortic aneurysm repair. Constant improvement of the existing treatment methods, as well as research into novel methods of AAA treatment, especially in groups of high-risk patients, can be observed. Aneurysms of the abdominal aorta present a significant treatment problem, to which standard surgery is still the basic solution, involving aneurysm excision with vascular graft implantation. Other treatment options are used however, in the therapy of high-risk patients: endovascular treatment or non-resective procedures. There are some data indicating a smaller amount of complications in patients treated by the use of endovascular methods, which is why a rapid development in end vascular techniques can be noticed. Unfortunately, no uniform algorithm of high-risk patient treatment is available.