Purpose of Review <p>This review explores the intercontinental disparities in endovascular treatment for aortic diseases, focusing on North America, Europe, Africa and Asia with special focus Southeast Asia(India). It highlights device availability, cost, accessibility, patient outcomes, and the necessity for improved healthcare equity.</p> Recent Findings <p>The management of aortic diseases such as aneurysms and dissections has improved with endovascular techniques like thoracic endovascular aortic repair and fenestrated-branched repair. These minimally invasive procedures offer benefits over traditional surgery, including lower morbidity and mortality rates, reduced hospital stays, faster recovery times, and generally higher patient satisfaction. However, their adoption varies across continents due to differences in healthcare infrastructure, economic resources, regulatory environments, and physician expertise.</p> Summary <p>By examining the current landscape of endovascular aortic treatment globally, we can better understand the challenges and opportunities for enhancing aortic care and ensuring equitable access for all patients, regardless of their geographic location and socioeconomic status.</p>