Background: Pseudoaneurysm is one of the complications of Arteriovenous fistula (AVF) , which is associated with an increased risk of thrombosis, infection, bleeding, difficult cannulation for dialysis, pain and cosmetic defects. Aneurysmorrhaphy is one of the successful treatment options for this complication to salvage the fistula and increase its patency rate. Aim of the work: Venous aneurysm is one of the complications of autogenous arteriovenous fistula (AVF), aneurysmorraphy is one of the treatment options that aims to salvage the autogenous fistula and maintain the access. This study aimed to assess the outcomes of aneurysmorraphy procedure. Patients and methods: 13 patients were included in this study all of them had venous aneurysm over autogenous arteriovenous fistula. Patients with infected, thrombosed or who had central venous stenosis were excluded. Results: The procedure was successful in all patients. Patency rate was 100% for 6 months, the mean AVF diameter was 37. ±3.8mm before operation 9.3±1.25 mm, 10.5±1 mm, 14±1.25 mm, at 1month, 3, and 6 months follow up respectively. Complications including limb odema, hematoma formation and infection were minimal. Conclusion: Aneurysmorrhaphy is a successful procedure for salvage of autogenous arteriovenous fistula with accepted rate of complications.