The primary purpose of vascular surgery is to restore blood flow to organs and tissues. Current methods of vascular treatment planning rely solely on diagnostic and empirical data to guide the decision-making process. This paper details a simulation-based medical planning system for cardiovascular disease that use computational methods to evaluate alternative surgical options prior to treatment using patient-specific models of the vascular system. A software framework, called Geodesic, is introduced that reduces the time required to build patient-specific models from medical imaging data from several weeks to less than one day.