Background <p>Peripheral arterial occlusive disease (PAOD) is an underdiagnosed and underestimated condition that is associated with increased mortality in both symptomatic and asymptomatic stages. Therefore, it should be identified and treated early.</p> Aim <p>This article aims to provide an overview and insights into how the treatment of PAOD is represented in the outpatient sector and how it can be improved.</p> Results and conclusion <p>A delayed treatment of PAOD has an impact on the quality of life and life expectancy and generates costs for the healthcare system. The introduction of screening programs, awareness initiatives, digitalization and better reimbursement in the outpatient sector can probably decisively improve the detection and treatment of PAOD. Invasive PAOD treatment, which was previously only performed in hospitals, is increasingly being transferred to the outpatient sector. Outpatient medicine, as the first point of contact, longitudinal medical management and post-hospital follow-up care, play an enormously important role alongside hospital-based treatment.</p>