Background: Thereismuch  controversy regarding the best management of infected  femoral false aneurysm (IFFA), with advocates of mere arterial ligation or reconstruction either routine or selective. Aim  of  the work:  To assess  the outcome  of surgical management  of (IFFA) due to local injury in parenteral drug abusers. Patients  and methods:  Eighteen male patients with IFFA were surgically managed and retrospectively reviewed  from October 2009 until October 2013. Data analyzed included demographic characteristics, modes of presentation, side and site of involvement, management and outcome. Arterial ligation  with excision ofpseudoaneurysm was done in (6) cases whereas vascular reconstruction  was done in (12) cases. Results:  Overall amputation rate was 1118 (5.5%). All patients who had no revascularization experienced late  claudications  and/or rest pain. Limb salvage  without critical ischemia  was achieved  in  all cases  having  vascular  reconstruction.  Hemorrhage  followed primary  CFA repair in one case (1112,8.3%) and infection occurred in 216 {33.3%) cases of ligation versus 3/12 (25%) cases ofreconstruction. Conclusion: Revascularization  should be selected if pedal Doppler signals are absent after excision ofpseudoaneurysm and ligation of the involved arteries, the extra anatomic route is a reasonable approach.