The heart is a pump, and just like any mechanical pump it has a number of valves, four to be exact. The valves which are predisposed to malfunction leading to symptoms are primarily the two on the left side of the heart. The aortic valve separates the left ventricle, from the aorta, and the mitral valve separates the left atrium from the left ventricle. The leakage (regurgitation) and narrowing (stenosis) of these valves are the most commonly encountered valve related problems. Depending on the severity of the leakage, and other structural parameters related to the heart chambers, as well as the patient’s symptoms, different therapeutic options are pursued for these patients.