Mayo Clinic heart specialists describe considerations for treatment with ventricular assist devices (VAD) for patients living with advanced heart failure. John M. Stulak, M.D., cardiac surgeon, discusses the landscape of surgical treatment options for heart failure patients. Today, bridge-to-transplant and destination therapy are both appropriate uses for VADs in heart failure patients. Grace Lin, M.D., a cardiologist specializing in advanced heart failure, discusses the innovations in VAD technology that improve patient quality of life. She reviews appropriateness of VAD therapy in patient populations that previously were told heart transplant was the only answer.