Cardiac surgery is traditionally known for its high trauma, high risk and complex operation. Patients undergoing surgery not only have to experience the pain caused by physical tissue damage, but also have to suffer great mental stress. The fear of cardiac surgery has caused many patients to miss the best time for surgery and even lost the opportunity to have lifelong regrets. However, with the development of science and technology, the field of cardiac surgery is constantly improving and developing. Changes in the management of extracorporeal circulation, the application of thoracoscopy and so on have built a platform for minimally invasive cardiac surgery. The Department of Cardiac Surgery of Shanghai Tenth People’s Hospital, with the concept of “love for patients”, has carried out many minimally invasive surgeries to reduce patients’ pain and mental stress while curing the disease. These minimally invasive procedures include many areas of adult cardiac surgery: adult congenital heart disease, valve disease, coronary artery disease, arrhythmia, aortic coarctation, and so on. Until December 2014, the Cardiac Surgery Department of the Tenth Hospital performed more than 30 minimally invasive cardiac surgeries, abandoning the conventional anterior median sternal incision and adopting incisions in different parts of the chest: lower middle sternum, upper middle sternum, left anterolateral side of the chest, etc. as well as 3D surgery with the assistance of thoracoscopy. These incisions are around 4-250px, which is nearly half of the conventional incisions, and the minimally invasive thoracoscopic surgical incisions are only 25px, which greatly reduces tissue damage. These minimally invasive procedures include: minimally invasive coronary artery bypass, minimally invasive atrial fibrillation ablation, minimally invasive valvuloplasty, minimally invasive cardiac tumor removal, and many more procedures. Most patients undergoing these procedures are discharged from the hospital sooner than regular patients. Minimally invasive cardiac surgery can relieve patients’ tension before surgery and help them cooperate better in postoperative monitoring and treatment, while reducing physical trauma and pain and discomfort. At the same time, minimally invasive surgery can intervene in the early stages of the disease, preventing the possibility of conventional cardiac surgery later in life and improving the patient’s quality of life.