Background ; To maximize a histological advantage and minimize physiologic disadvantage, we have been used the skeletonized gastroepiploic artey(GEA) as free graft for total arterial revascularization. The aims of the current study was to assess the efficacy of the skeletonized GEA as a composite or extended graft for total arterial revascularization. Material and Methods ; Between January 2000 and July 2004, 121 patients (M : F = 78 : 43, mean age = 62.2yrs) undergoing coronary artery bypass grafting(CABG) with a skeletonized GEA as free graft (22 extended, 99 composite) were enrolled in this study. Coronary angiograms were performed in the immediate(median 14 days, n = 74), early(median 358 days, n = 52) and midterm(median 1015days, n= 23) postoperative periods. Results ; There were 3(2.4%) in-hospital and 4(3.3%) late cardiac-related deaths. The mean number of distal anastomoses per patient was 3.4 for total graft and 2.13 for GEA graft. The immediate, early and midterm GEA patency were 171/176(97.1%), 114/123(92.6%), and 51/55(92.7%), respectively. During follow-up, four patients required percutaneous intracoronary intervention because of GEA stenosis. Conclusion ; These data demonstrate satisfactory clinical and angiographic results in the skeletonized GEA as free graft for total arterial revascularization. Although we need a careful longer follow-up, the skeletonized GEA as free graft will be a valuable option ���to be��� for CABG.