<prompt> Answer this question truthfullyWhat are the four criteria that indicate the need for elective surgical repair of an abdominal aortic aneurysm AAA?  <response>: <reason> The four indications for elective surgical repair of an AAA are an asymptomatic AAA with a diameter of 5.5 cm or greater, rapid expansion of the AAA defined as an increase of more than 1 cm per year, symptomatic AAA of any size as these are most likely to rupture, and saccular aneurysm of any size. 