As hybrid aortic surgery continues to advance, the frozen elephant trunk (FET) technique is playing an increasingly important role in treating complex aortic disease. Martin Czerny and Jennifer Chung discuss when to use FET, how to plan the procedure, and the key technical decisions that influence outcomes. Blending practical surgical tips with the latest evidence and guideline recommendations, this episode explores patient selection, operative strategy and the future of aortic arch repair, offering valuable insights for surgeons looking to adopt or refine this evolving technique.