We review the optimal design of an arterial bypass graft following either a (i) boundary optimal control approach, or a (ii) shape optimization formulation. The main focus is quantifying and treating the uncertainty in the residual flow when the hosting artery is not completely occluded, for which the worst-case in terms of recirculation e ffects is inferred to correspond to a strong ori fice flow through near-complete occlusion. A worst-case optimal control approach is applied to the steady Navier-Stokes equations in 2D to identify an anastomosis angle and a cu ed shape that are robust with respect to a possible range of residual flows. We also consider a reduced order modelling framework based on reduced basis methods in order to make the robust design problem computationally feasible. The results obtained in 2D are compared with simulations in a 3D geometry but without model reduction or the robust framework.