Full, open-access video available at: http://tvasurg.ca/whipple-sma-smv/ This video describes a pancreatico-duodenectomy (Whipple procedure), with reconstruction of the SMA and SMV. TVASurg.ca is a collection of videos to instruct surgeons in the care of patients with complex problems in liver, pancreas and translate surgery, and highlight the advanced surgical techniques required for the management of these diseases. For more videos, please visit http://www.TVASurg.ca