Recorded live at the EACTS Annual Meeting, this special episode explores the theme "Nightmares in CABG." Our hosts are joined by Faisal Bakaeen, Thomas Gudbjartsson, and Miguel Sousa Uva for an open and practical discussion on the challenges of coronary surgery. The panel shares their approaches to complex scenarios—from fragile conduits and calcified aortas to dissected mammaries and "full metal jacket" targets—offering insight into preparation, technique, and team communication. Emphasis is placed on patient assessment, intraoperative decision-making, and the humility required to learn from complications. The conversation closes with reflections on mentorship, transparency, and the value of honest debriefing in shaping safer surgical practice.