PURPOSE: Māori, the Indigenous people of Aotearoa New Zealand (AoNZ) experience inequity in comparison to the Pākehā (non-Indigenous) population across a wide range of health outcomes, including in Vascular health. This presentation reviews the limited literature on vascular health outcomes for Māori, focusing specifically on Māori women, in the areas of abdominal aortic aneurysm (AAA), diabetes related foot disease (DRFD), and peripheral arterial disease (PAD). FINDINGS: Māori women have a higher incidence of AAA than Pākehā women, as well as higher aneurysm-related mortality rates1. The Māori Health Pipeline 2016-24 screened 1800 Māori women, finding 1.3% had an AAA measuring 30mm or greater and 2.6% had AAA 27mm or greater. 60-70% of identified AAA were not appropriately followed up2. In DRFD, a 2024 study of 256,807 diabetic patients showed females overall had lower risk-adjusted rates of both minor and major amputation. However, ethnic inequities were evident, with Māori females having a risk-adjusted major amputation rate equivalent to Non-Māori males. Postoperative mortality following both minor and major amputation is higher for Māori than Pākehā. There is an overall lack of literature on outcomes for Māori women in PAD, despite known higher hospitalisation rates with PAD in the Māori population. One study found Māori women were less likely than Pākehā to be prescribed cardioprotective medications in the context of PAD. CONCLUSION: Limited studies show inequitable outcomes for Māori women in vascular surgery. More work is needed to better characterise these inequities in order to improve resource provision. 1. Sandiford, P., Mosquera, D., & Bramley, D. (2012). Ethnic inequalities in incidence, survival and mortality from abdominal aortic aneurysm in New Zealand. 2. Chambers, E., Bartholemew, K., Sandiford, P., Hill, A., Taumoepeau, L., Poppe, K., Doughty, R. (2024). National planning for AAA screening: Research evidence from the Māori Health Pipeline.