The goal of abdominal aortic aneurysm (AAA) detection is to identify asymptomatic AAA before rupture, as the mortality rate associated with a ruptured aneurysm may exceed 80%, while the mortality rate of an elective repair is 0.5% to 4% in most contemporary studies. The US Preventive Services Task Force (USPSTF) has recommend 1-time screening for patients at risk of AAA since 2005, and AAA screening has been a covered benefit under Centers for Medicare & Medicaid Services since 2007. The 2019 update by USPSTF1,2 has incorporated new evidence since its last update in 2014 and continues to recommend 1-time screening for certain patients.