The aim of this document is to summarize the existing data derived from regulatory bodies, professional organizations, and clinical trials with direct pertinence to indications and qualifications required for performing neurointerventional procedures and provide recommendations regarding qualifications required for performing individual neurointerventional procedures. Recommendations are provided for performance of cerebral angiography, intra-arterial thrombolysis, carotid angioplasty and stent placement, intracranial angioplasty and stent placement, and endovascular treatment of intracranial aneurysms and arteriovenous malformations.