**7. Conclusions**

Minimally invasive aortic valve surgery carries substantial benefits to patients with aortic valve disease. Fewer transfusions, shorter ICU and hospital stay, shorter mechanical ventilation alongside similar survival, POAF and AKI incidence are the main advantages when compared to conventional median sternotomy. The cardiac surgery society should aim at providing additional training to all cardiac surgeons to implement minimally invasive approaches in the majority of patients. Only by doing so, the cardiac surgery society can offer a counter-balance to ever-increasing numbers of TAVI, which will undoubtedly spread also in moderate or even low-risk patients in the following years [24].
