Joseph A. Dearani, M.D., chair, Cardiovascular Surgery at Mayo Clinic, discusses shared medical decision making for patients considering a heart valve intervention. Technology for structural heart disease is advancing rapidly. Medical professionals must carefully evaluate patient candidacy for multiple options. Some patients may not qualify for heart surgery; therefore advanced technology allows interventional repair options. Dr. Dearani reviews medical options with pros and cons for interventional-based repair options including transcatheter aortic valve replacement, mitral clip for mitral valve disease, and evolving technology for both the tricuspid and pulmonary valves versus gold standard operations that can be offered robotically or with a minimal incision.