Many authors have reported excellent long-term patency rates of peroneal artery bypasses. It has been suggested, however, that the hemodynamic result of the peroneal bypass is inferior to that of other infrapopliteal artery bypasses, making it suboptimal in patients with forefoot ischemic tissue loss. A retrospective review of 118 recent infrainguinal vein grafts (36 peroneal, 27 anterior tibial, 35 posterior tibial, 20 popliteal) was undertaken to assess and compare the hemodynamic results for each group.