In this video, Dr. Sameer Shrivastava, Heads the department of Non-Invasive Cardiology at Fortis Escorts Heart Institute, New Delhi, will talk about the indications for surgery in mitral regurgitation. If patients are symptomatic, then it indicates surgical intervention. If the patient has a significant mitral regurgitation with symptoms then he requires surgery. Dr. Sameer tells us that the correct guidelines to intervene in mitral regurgitation are not yet present. The existing guidelines indicate that the patient is subjected to surgery only. When the mitral regurgitation is of rheumatic origin, then mitral valve replacement is needed versus prolapse where the surgery should be repair of the valve. He will explain the repair as well as replacement of valve methods.