There is no such thing as the best mitral valve surgery or the best artificial valve. Every surgery and artificial valve has advantages and disadvantages. The important thing is to choose the most appropriate surgery and valve for the patient. Treatment must be personalized and tailored to the individual. Each patient's overall health, mitral valve problem, heart rhythm problems, coronary artery status, and other comorbidities must be considered to select the most appropriate treatment. Based on this, the risks of surgery can be determined.