Introduction: Enhancement of peripheral circulation using electrical devices has demonstrated benefit in many vascular disorders. Case Series: Herein, we present a case series of three complex patients illustrating the successful use of a new single-use disposable neuromuscular electrical stimulation (NMES) device (geko^(TM), Firstkind Ltd, UK). Cases include the management of recalcitrant ulcers, nonreconstructable critical limb ischemia, and an infected arterial bypass graft. Conclusion: Neuromuscular electrical stimulation (NMES) can potentially enhance peripheral circulation in vascular patients. Difficult or recalcitrant vascular cases may benefit from it as an adjunct to best medical care. NMES has few side effects, and may be especially useful where polypharmacy is an issue. The incidence of a skin reaction may necessitate device discontinuation.