JACC has released a cardiovascular surgery-focused issue with original research, editorials, and brief reports addressing surgical management of valvular and coronary artery disease. Topics include mitral valve surgery in Marfan syndrome, degenerative mitral regurgitation repair, use and outcomes of the Ross procedure, coronary revascularization strategies and heart team models, and technical considerations in CABG and surgical aortic valve replacement. Collectively, the articles examine surgical outcomes, risk stratification, procedural utilization, and implications for clinical practice and research methodology. Read the focus issue.