To summarise, minimally invasive aortic valve surgery is safe and reproducible. Fewer complications are likely with a detailed and selective as appropriate plan of preoperative investigations. There is significant evidence to suggest that a shorter post-operative stay and reduced number of complications, such a blood loss and post-operative pain, are associated with minimally invasive procedures. Despite a longer learning curve and challenging procedures the improved outcome gives to the patient the optimum chance of faster recovery with the return to normal activity. Minimally invasive aortic valve procedures should be offered to any patients deemed appropriate to benefit to this approach. Ultimately, adoption of minimally invasive cardiac surgery will enhance professional careers of cardiac surgeons as well as the lives of their patients.