This case describes an 85-year-old gentleman with significant peripheral arterial disease and lifestyle-limiting claudication who had previously undergone an unsuccessful attempt at endovascular treatment of his significant right common femoral artery stenosis. At our institution, we proceeded with open surgical intervention and performed a right common femoral endarterectomy to remove his significant plaque burden. Postoperatively, the patient noted significant improvement in his right lower extremity claudication, and his postoperative pulse volume recordings show improved arterial inflow. This article provides background information regarding this particular patient’s case, as well as a detailed description of the steps of the surgical procedure itself.