The technique of carotid endarterectomy by eversion is not new as it might seem, but it is true that it stopped being used, despite the excellent results, mainly because the difficulty of inserting the shunt that in the seventies and eighties of the last century was routinely used. The authors describe in this paper the modality that they perform, a modified eversion carotid endarterectomy without sectioning the carotid artery at any time, and that was already described by Cooley and modified by anderson. They carefully point out the steps and describe the tricks to make the procedure successful. In most cases, they do it under local anesthesia and systematically carry out an intraoperative control angiography.