Minimally invasive and open heart valve replacement have more advantages and disadvantages, of which minimally invasive incisions are small and recovery is fast, while traditional open heart surgery is more mature and relatively inexpensive. Minimally invasive valve replacement surgery has smaller and hidden incisions and does not require sawing of the ribs, so if the underlying physical conditions are poor, you can choose this type of surgery, and the recovery is faster, relatively beautiful, and the people who have the requirement of the appearance of the minimally invasive can choose the minimally invasive. However, the vision of the surgery is limited, so it is more demanding on the surgeon’s skill, and it is difficult to perform minimally invasive valve surgery if the local medical level is limited. Open heart surgery requires the ribs to be sawn off to obtain a clearer surgical field and therefore carries a higher risk. However, this type of surgery is technically mature and relatively inexpensive, and can be chosen by those who do not have cosmetic requirements and who are in good physical condition. People who need valve replacement should weigh the pros and cons under the guidance of their doctors and choose the most appropriate surgical method.