When should patients with functional mitral regurgitation be referred to a Comprehensive Valve Center? How far will medical therapy take you? Why does it make sense to fix the valve when really the left ventricle is the problem? When is transcatheter edge-to-edge repair (TEER) a better option? The field has an up-to-date guideline, published in December 2020, but guidelines can be cumbersome for the non-subspecialist, particularly when recent data have been conflicting (think, COAPT and MITRA-FR). This month Cardiology spoke with four experts in the field – two cardiothoracic surgeons and two interventionalists – to provide some texture and commentary around the guidelines and answer some of these common clinical questions. Read the full article in Cardiology.