Certainly not. An abnormal finding during physical exam of the peripheral leg can be the lack of palpable pulses and if an arterial ultrasound (Duplex or Triplex) is done this may reveal atherosclerotic lesions (hardening of the arteries). As long as these lesions are mild, or even moderate, surgery is not required, particularly when there are no associated symptoms (e.g. leg pain or non-healing wounds).
Your vascular surgeon will recommend specific medical treatment and lifestyle changes, as well as yearly follow-ups.