Anatomy of a Leader with Maria Hvorostovsky · 2026-02-11 · 17 min
Two heart surgeons looked at the same heart and gave me opposite advice. One said plan surgery. The other said wait. At 42, in the best shape of my life, I was diagnosed with mitral valve prolapse with severe regurgitation. And suddenly I had to answer a question I never expected to face: Do I operate now - or can I safely wait? This is Part 2 of my heart story. In this episode, I break down exactly how I chose my heart surgeon in London, what criteria I used, and what I learned navigating the NHS, private healthcare, and multiple surgical opinions. If you’ve been diagnosed with mitral valve prolapse, mitral regurgitation, or told you “might need surgery,” this episode is for you. In this episode: • What severe mitral valve prolapse actually means • Why two top surgeons gave completely opposite advice • The difference between repair vs replacement • Why “minimally invasive” doesn’t always mean what you think • The exact criteria I used to shortlist surgeons • How many surgeries is “enough”? • Why bedside manner mattered less to me than technical mastery • The red and green flags I noticed • What finally made my decision clearI’m not a doctor. This is not medical advice.
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