As we are advancing in technology, now a days we use minimal invasive techniques for performing bypass surgeries, and Valve surgeries.  Surgery is performed through small incisions on chest without cutting breast bone called sternum.  Bypass surgery can be performed through small incision on left side of chest with fast postoperative recovery and early discharge from hospital. Patients can resume their normal routines very early. But completeness and quality of surgery is  usually less than conventional surgery in bypass grafting. The operator skill required is high.

Minimal invasive valve surgery is best available treatment option as recovery is very fast  with minimum pain with a good outcome. Now a days mitral valve replacement and repair surgeries are routinely performed through small incision on chest.

Congenital Atrial septal defect surgery is best performed with minimal invasive surgery, as patients are young, it is cosmetically much accepted surgery.