Background: The superficial femoral artery (SFA) is the site of> 50% of atherosclerotic plaques that develop in the human vascular tree. These lesions were previously amenable only to surgical bypass, but now the endovascular therapy altered this line of treatment. However, still there is a debate in using primary stents to treat such lesions. Aim of the study: To compare primary stenting versus simple balloon angioplasty in treating SFA TASC II type A orB lesions. Patients and methods: 40 patients presented by chronic lower limb ischemia were divided randomely into 2 groups. Each involved 20 patients. Group I was treated by primary stenting and group II by simple balloon angioplasty. The lesions treated belonged to TASC II (type A or B) lesions. Follow up at 6 months and one year was done as regards the patency and development of restenosis. Results: The mean lesion length treated was 10.1 em ±3 em.30% of the lesions were complete occlusions. The patency in both groups was 100% along the whole period of the study.10% of group I and 25% of group II developed restenosis at 6 months. At the end of the first year, a total   of  20%   of  group  I  and   56.2%  group  II     developed  restenosis  >50%. Conclusion: Primary stenting of SFA lesions (TASC II type A or B) is recommended as it improves the one year outcome as regards development of restenosis.