A new technique for microvascular anastomosis, telescoping one vessel into the other requiring only 2 sutures, is described. In 28 arterial and 15 venous anastomoses no failures were seen as recorded 3 weeks postoperatively by micro dissection, micro angiography, light microscopy and scanning electron microscopy. It is concluded, from this experimental study in rats, that the new anastomosis is faster and easier to perform and at least as reliable as the conventional end to end anastomosis.