Chronic exposure to low dose radiation, such as that experienced by operators who routinely perform endovascular aneurysm repair (EVAR), has biological effects that can be mitigated with the use of lead shielding for the legs. However, many vascular and endovascular interventionists are not using this type of protection because it is perceived as cumbersome, or unnecessary. There is clearly work to be done, Bijan Modarai (London, UK) tells Vascular News at the London Aortic Symposium, not least regarding how well vascular and endovascular trainees are being protected from radiation.