This provocative title reflects a timely and necessary question: René Chapot and Rodrigo Rivera discuss the evolving role of endovascular treatment in arteriovenous malformations (AVMs), a pathology historically under-treated via this route. With AVM cases on the rise, they highlight how recent advances are reshaping therapeutic strategies: from enhanced imaging through volume fusion to improved access techniques. These innovations open new opportunities to treat cases previously referred to surgery or radiosurgery, ushering in a new era of minimally invasive AVM care.