In this episode, our hosts are joined by Michael Borger and Nikolaos Bonaros to break down the new valvular heart disease guidelines—what's changed, why it matters, and how the decisions were really made. They cut through the headlines to explain the thinking behind key recommendations, from TAVI thresholds and bicuspid valves to atrial functional MR, concomitant ablation, and the push for heart valve centres. Sharp, practical, and grounded in real-world decision-making, this episode gives you the essentials of modern valve therapy—and the questions that still need answering.