Hello all. I recently posted that my bovine aortic valve was showing signs of age and becoming stenotic. I went to see my heart surgeon for a second opinion because I'm having an unrelated surgery August 30. I wanted some assurance that I would be OK for that. My heart surgeon did my first valve replacement in 06. He reviewed my recent echocardiogram and felt that I will need a replacement sometime within a year but he seemed to feel OK about this upcoming surgery. He said to be sure and have my cardiologist follow me and if I noticed increased symptoms to call him. We discussed the surgery a little and he said he would most likely replace this tissue valve with another and if I needed a third, he would do TAVR. I'm 64 by the way. What surprised me though was that he said he would do a full sternotomy for this second surgery. I was hoping surgery techniques had advanced beyond that. I know my surgeon may be thinking about needing room for dealing with scar tissue although we didn't discuss that. Have any of you had second surgeries and how were they done? Was scar tissue at your second surgery a big deal? I wonder what my scar will look like. You can barely see my scar from my first minimally invasive surgery. I know this should be the least of my worries but I just hate the idea of dealing with a scar again. Would love to hear your thoughts about anything I've mentioned. I was also surprised that he didn't suggest a mechanical valve but I guess given my age, his plan makes sense. My concerns right now are how experienced does a surgeon need to be with second/third surgeries and scar tissue and the sternotomy. How awful will that be?