I'm scheduling my heart valve replacement surgery for early April 2016. I'm a 50 year old male. I have a bicuspid aortic valve with severe regurgitation. I also have an aneurism in the ascending aorta, 4.8 cm. These last months have been a journey of reluctant acceptance. I'm now at the point of deciding what kind of valve to put in, mechanical or tissue. I'm really leaning toward tissue, but I want to give the mechanical a fair chance. It seems like I was just predisposed to choose tissue, my gut choice, and I notice in researching, I look for evidence to support that decision instead of the benefits of a mechanical. Is it worth having more than one OHS in a lifetime? How will my body recover from surgery now, and then when I'm say 63 or so? The reassuring thing is that I've found this community of thoughtful people that are in the same boat as myself. I notice in the forums, no matter what valve choice people make they are happy with it.