 Vascular implants are designed to replace damaged arteries with synthetic materials. These implants must mimic the mechanical and biological properties of the original artery in order to be successful. Textile manufacturing methods such as weaving, knitting, braiding, and electrospinning are commonly used to create these implants. Despite advances in technology, it remains difficult to replicate the exact structure of a natural artery. This difficulty is due to the lack of knowledge about how the structure of the artery affects its performance. To address this issue, this paper reviews the design aspects of textile vascular implants and compares them to the structure of a natural artery. The comparison provides insight into the factors that contribute to the success of a vascular implant. This article was authored by Charanpreet Singh, Cynthia S. Wong, and Shuangai Wong.