Background: Carotid endarterectomy (CEA) is a standard treatment for carotid stenosis. While conventional CEA (cCEA) and eversion CEA have been well-studied, limited data exist on the modified eversion CEA (meCEA), which uses limited arteriotomy at the carotid bulb. Methods: A retrospective analysis was conducted on 206 patients who underwent CEA at Daegu Catholic University Hospital between 2015 and March 2025. Patients were grouped into cCEA (n = 170) and meCEA (n = 36). We compared operative characteristics, early outcomes, and follow-up events. Results: There were no significant differences in early postoperative complications such as stroke, transient ischemic attack (TIA), or mortality. However, meCEA showed intraoperative advantages: significantly less patch use (25% vs. 87.1%), shorter operative time (94.3 ± 24.5 vs. 139.8 ± 43.7 min), and shorter ICA clamp time (35.0 ± 12.7 vs. 48.5 ± 12.5 min). Cranial nerve injury and incision length were also lower in the meCEA group, though possibly influenced by institutional trends. Long-term stroke and restenosis rates were comparable, but follow-up was shorter in the meCEA group. Conclusions: meCEA offers technical advantages such as reduced patch use and operative time. It appears to be a safe and efficient alternative to cCEA, though further prospective studies are needed to validate long-term outcomes.