Ｏｂｊｅｃｔｉｖｅ　To investigate the effect of transcutaneous electrical acupoint stimulation (TEAS) combined with general anesthesia on intraoperative medication and postoperative recovery in patients undergoing carotid artery stenting (CAS).　Methods　Eighty?蛳two patients with CAS under general anesthesia were randomly divided into the transcutaneous electrical acupoint stimulation combined with general anesthesia group (group T, n=40) and the traditional general anesthesia control group (group C, n=42). The surgical side acupoints of the body for acupuncture were selected as, Shuigou and Baihui, Hegu and Waiguan. For patients in group T, the electrodes were pateched pasted at the corresponding locations and were stimulated by HANS. For the patients in group C, the electrodes were placed at the same location but not stimulated by HANS. The blood pressure and heart rate are maintained within in the (1±20)% range of the baseline. The hemodynamic changes during the operation, the use of vasoactive drugs and the postoperative recovery of the patients were recorded.　Results　After 30 min of the transcutaneous electrical acupoint stimulation, the blood pressure in the group T was lower than the level of baseline (P<0.05). There was no statistical difference between the two groups during the operation and one day after surgery (P>0.05). At 5 min before extubation and 5 min after extubation, the heart rate of patients in group T was lower than that of patients in group C (P<0.05). Also, the heart rates at the other time points were not statistically different between the two groups (P>0.05). There was no statistical difference in among the number of cases and total amount of dopamine, atropine and urapidil in the two groups (P>0.05). The amount of remifentanil used in group T was less than that in group C (P<0.05). There was no statistical difference in doses of propofol used in the two groups (P>0.05). The time of respiration recovery, wake-up time and extubation time in the group T were less than those in group C (P<0.05). There was no significant difference between the two groups in the time of taking food after operation, the time of off-bed activity, the incidence of nausea and vomiting at 6, 12 h and 24 h after surgery (P>0.05). The numbers of patients with postoperative moderate pain (VAS score more than 4 points above) were analyzed at 9 am and 4 pm at one day after the operation. The incidence of postoperative moderate pain in group T was significantly lower than the incidence in group C (P<0.05).　Conclusions　TEAS combined with general anesthesia for CAS surgery can stabilize hemodynamics changes, reduce analgesic remifentanil consumption, shorten the wake-up time and extubation time after surgery, reduce the incidence of postoperative pain, and improve the patients′ satisfaction with anesthesia.