The placement of a central vascular access device is a decision guided by specific clinical needs and implantation protocols. A thorough understanding of vascular devices’ materials and technical characteristics is the starting point for selecting the most suitable device for a patient’s needs. Once the indication for central vascular access placement is established, it is essential to analyse the patient’s specific requirements, including age, type of infusion, expected duration of device use, patient lifestyle, and potential contraindications. Only by being aware of these factors can healthcare providers select the most appropriate device for each patient, aligning with the modern concept of “tailored care”. This patient-centred approach ensures optimal outcomes by customising care to meet each patient’s needs.