New valve guidelines provide information about management of patients with heart valve disease including when to operate, TAVR (TAVI); valve surgery; valve choice, valve repair, surgical approach, and how the guidelines address the aorta and the tricuspid valve.Dr. Lars Svensson, Chairman, Sydell and Arnold Miller Family Heart, Vascular & Thoracic Institute and Dr. Marc Gillinov, Department Chairman, Thoracic & Cardiovascular Surgery provide their take on the new guidelines.