Two pioneers of modern cardiac surgery, Tyrone David and Eduard Quintana, join A Cut Above for a deep dive into one of the speciality's most feared and technically demanding operations: the Commando procedure. From radical reconstruction for infective endocarditis and massive annular calcification to the mindset required when "there is no other option", this episode explores the anatomy, precision, and surgical courage behind these extraordinary cases — while offering invaluable lessons on innovation, operative judgement, and the future of complex valve surgery.