 Hello, I am Dr. Devananda, Head of the Department of Cardiac Surgery at Manipal Hospitals. I have been practicing cardiac surgery for the last 18 years. The success of mitral valve repair depends on two things. One, timing of surgery and expertise of the treating team. Now, timing of surgery, yes, when I am looking from the repair point of view, it's better to intervene little early before the ventricles start disfunctioning or the mitral valve pathology progresses from bad to worse. The repairability chances will become less if the valve itself gets damaged more and more. So, it's better to intervene little early compared to when I plan for a replacement. Number two, the experience of the team. Now, larger team who are dealing with these repairs in all age groups probably have better outcome because we do understand how these repairs work, what are the different approaches we need to follow, what suits a particular patient the best and the overall expertise of the team in terms of preoperative evaluation, preoperative techniques and postoperative care. This certainly would give a better result. So, I think centres with lots of experience with mitral valve probably are best suited for repair, especially as the repair becomes more and more complicated.