Ulnar access is a simple feasible and easy alternate access to radial access for coronary angiography and interventional procedure. The technique is difficult for the learners so discussion about technique and feasibility of all interventional procedure through route is feasible. Audience Take Away: • Audience will learn the tips and tricks of ulnar access puncture technique( I have an experience of more than 3200 procedures) • Interventional cardiologist will get four upper arm access for the interventional procedure hence shifting from radial to femoral access will be reduced to less than 1%, hence femoral access related complications will be less and the patients hospital stay will be reduced and also, post-operative care will be better. • This research that other faculty could use to expand their research or teaching? Yes • Does this provide a practical solution to a problem that could simplify or make a designer’s job more efficient? Yes • Will it improve the accuracy of a design, or provide new information to assist in a design problem? • Interventional cardiologist will have four upper arm accesses for coronary angiography and interventional procedure. • Less vascular complications to the patients • Less hospital stay of patients so more economic benefit. • Procedure technique is Good for female, obese and pelvic access problems • Spare radial access for CABG graft and Hemodialysis access a v canulations.