Mitral valve replacement is not currently available in dogs. Open-heart surgery with cardiopulmonary bypass to repair the mitral valve is currently offered by Dr Uechi and his team from Japan. They have travelled to Australia to perform the procedure in the past, working closely with University of Sydney specialists. Fees range from $50-70K. The published results of Dr Uechi’s surgery outcomes in Japan demonstrate that 45 of 48 dogs survived to time of discharge from hospital and 25% were alive 3 years following the surgery (Uechi, M et al., JAVMA 2012).