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Before you consent

Your Incision Should Be Your Decision™

Is heart surgery necessary for me?

The honest answer cannot come from a diagnosis alone. A cardiac surgeon and cardiologist review your complete record, evaluate why surgery is being proposed, and organize the indication, timing, alternatives, and risk into one co-signed report.

2independent physician reviews1co-signed patient-facing report24 hrafter complete records are received

No referral or travel required. We can help collect your records.

WHITEGLOVE Insights™Decision review
Your question

Is this operation
necessary for me?

Two perspectives.
One complete record.
1Indication2Timing3Approach4Setting
Cardiac surgeonCardiologist

The short answer

Maybe—and the “why” matters as much as the answer.

Surgery may be the clearest path. Another approach may deserve discussion. A test or risk input may still be missing. A useful review does not promise agreement or disagreement; it makes the reasoning visible before a consequential decision.

If your situation may be emergent, seek immediate medical care. An online records review is not emergency care and should never delay it.

What “necessary” really means

One question. Four decisions underneath it.

The decision is not simply surgery versus no surgery. It is whether the recommendation, timing, approach, and setting fit your specific record.

01

Does the diagnosis support an operation?

The symptoms, imaging, testing, and documented severity should be considered together—not reduced to one finding.

02

Does it need to happen now?

Timing can depend on symptoms, progression, anatomy, heart function, and what may happen if treatment is deferred.

03

Is surgery the right approach?

When relevant, the review compares surgery with catheter-based, minimally invasive, medical, or monitoring pathways.

04

Is this the right team and setting?

Procedure-specific experience, public outcomes, clinical complexity, geography, and transfer options can all matter.

When another review helps

Reasons to ask for a clearer explanation—not reasons to panic.

None of these proves that the recommendation is wrong. Each is a reasonable signal that the decision deserves a more complete review.

01

The explanation still feels incomplete

You know an operation was recommended, but not which findings make it necessary or why the timing matters.

02

More than one approach may fit

You have heard about surgery, stents, TAVR, TEER, medication, monitoring, or a minimally invasive option—but not how they compare for you.

03

The case is unusually complex

Multiple valves, redo surgery, aortic work, multivessel disease, frailty, or major comorbidities can make the tradeoffs less straightforward.

04

The recommendation changed

New imaging, new symptoms, or another clinician’s opinion altered the plan and you want the reasoning reconciled.

05

You are unsure about timing

You want to know what supports operating now, what could reasonably wait, and what should be monitored if surgery is deferred.

06

You need confidence before consenting

A confirming review can be valuable when it explains why the current plan fits and what alternatives were considered.

Not sure whether your case fits? Talk to an expert

The complete record

A recommendation is only as clear as the evidence behind it.

The review should connect what you feel, what the tests show, what is proposed, and what remains uncertain.

01

What your clinicians saw

Consultation notes, symptoms, diagnoses, prior procedures, medications, and relevant medical history.

02

What the tests show

Echocardiograms, catheterization reports and images, CT or MRI studies, laboratory results, and rhythm testing when relevant.

03

What is being proposed

The operation, timing, planned approach, hospital, and any alternatives already discussed.

04

What remains uncertain

Missing studies, conflicting measurements, incomplete risk inputs, or questions the record does not yet answer.

WHITEGLOVE Heart Team

The operating-room view and the cardiology view—on the same complete record.

A cardiac surgeon evaluates the operative questions. A cardiologist evaluates the diagnostic, medical, and non-operative context. They review independently, confer, and co-sign the report you receive.

01

Cardiac surgery

Indication, anatomy, operative approach, technical alternatives, perioperative considerations, and procedure fit.

WHITEGLOVE Insights™One organized answerTwo independent reviews · two signatures
02

Cardiology

Diagnostic context, medical therapy, catheter-based alternatives, imaging, and longitudinal cardiac perspective.

Meet the entire WHITEGLOVE Heart Team

WHITEGLOVE Insights™

Not a verdict. A map for the next conversation.

Every page turns a part of the record into something you can use with your treating team.

Download a sample report
WHITEGLOVE Insights™Patient-facing

Your decision,
organized.

Coronary artery anatomy illustration
Aortic valve anatomy illustration
Mitral regurgitation anatomy illustration
Cardiac surgeonCardiologist
01

Current clinical picture

The diagnosis, symptoms, testing, and proposed plan—clearly tied to the source record.

02

Guideline mapping

Where the documented decision sits within current guidance and which facts make it relevant.

03

Surgical risk in context

Validated models considered with their inputs, missing variables, and limitations made visible.

04

Your anatomy—not a generic case

Patient-facing visuals and explanations linked to the findings in your own record.

05

Alternatives, benefits, and tradeoffs

Surgical, catheter-based, minimally invasive, medical, or monitoring paths compared when relevant.

06

Practical next questions

What may still be missing and what to discuss with your treating cardiologist and surgeon next.

Choose your review

Published clinical framework

The right decision depends on indications, options, risk, and your goals.

These sources describe how clinical decisions should be structured. They do not determine whether surgery is necessary for any individual person.

Coronary decisions

When the best revascularization strategy is unclear, use a Heart Team.

The 2021 ACC/AHA/SCAI coronary revascularization guideline emphasizes a multidisciplinary Heart Team, patient preferences, and shared decision-making when the optimal strategy is unclear.

American College of Cardiology · 2021 guideline key perspectives
Risk assessment

Risk estimates should be individualized—and their inputs should be visible.

The Society of Thoracic Surgeons describes its operative risk calculator as a tool for estimating procedure-specific mortality, major morbidity, and short-term outcomes from current national data.

Society of Thoracic Surgeons · ACSD Operative Risk Calculator

How it works

From “do I need this?” to a clearer next conversation.

One coordinated process—without asking you to chase every record alone.

01

Begin with the decision

Choose a review or request a complimentary orientation call. No referral or records are needed for that first conversation.

02

We help assemble the complete record

Upload what you have or authorize our records team to help collect reports, imaging, notes, and the proposed plan.

03

Two specialists review independently

A cardiac surgeon and cardiologist examine the same complete record, then confer around the decision.

04

Receive one co-signed report

The 24-hour turnaround begins after the complete records needed for review have been received and confirmed.

See exactly how it works

Choose your level of physician time

Start with the written review. Add a live conversation only if you want it.

Every tier includes independent review by a cardiac surgeon and cardiologist and a co-signed written report.

01

WHITEGLOVE Insights™

$495

The written, co-signed Heart Team review.

02

WHITEGLOVE Consult

$995

The report plus a live consultation with one reviewing physician.

04

WHITEGLOVE Concierge

$2,495

The Heart Team consultation plus concierge access until the day of surgery.

Compare all four options

FAQ

Questions patients and families ask before deciding about heart surgery.

How do I know if heart surgery is really necessary?

No diagnosis or website can answer that by itself. A useful review considers the complete record: symptoms, imaging, test results, disease severity, heart function, relevant medical history, the proposed operation, timing, and reasonable alternatives. WHITEGLOVEMD has a cardiac surgeon and cardiologist review those materials independently and bring both perspectives together in one co-signed report.

When is another review most useful?

Another review can be especially useful before you consent, when the explanation is unclear, more than one approach may fit, the case is complex or high-risk, recommendations conflict, new test results changed the plan, or you want to understand why surgery is being recommended now.

Can a second opinion confirm that surgery is appropriate?

Yes. A valuable review does not need to disagree with the original recommendation. Confirmation can help by making the indication, timing, alternatives, risk, and unanswered questions easier to understand before you move forward.

Can the review compare surgery with less-invasive options?

When those alternatives are relevant to the documented anatomy and clinical situation, the report can compare open surgery with catheter-based, minimally invasive, medical, or monitoring pathways. It also explains when an alternative may not fit the record.

Who reviews my heart surgery case?

Every WHITEGLOVEMD case is reviewed independently by a cardiac surgeon and a cardiologist. They then confer and co-sign one patient-facing WHITEGLOVE Insights™ report.

What records are needed to review whether surgery is necessary?

The exact record depends on the decision, but it may include cardiology and cardiac-surgery notes, echocardiograms, catheterization reports and images, CT or MRI studies, laboratory results, medication lists, prior procedure records, and the proposed operative plan. With your authorization, our records team can help gather and organize them.

How quickly will I receive the report?

The 24-hour turnaround begins after the complete records needed for the review have been received and confirmed. Time spent obtaining missing records is outside that 24-hour window.

How much does the review cost?

WHITEGLOVE Insights™ is $495, WHITEGLOVE Consult is $995, WHITEGLOVE Heart Team is $1,495, and WHITEGLOVE Concierge is $2,495. Every tier includes independent review by a cardiac surgeon and cardiologist and a co-signed written report.

Do I need a referral or need to travel?

No referral is required, and the medical-record review is completed virtually. You can begin from home, and our records team can help obtain the clinical information needed for the review.

What if the review differs from my current plan?

Use the documented reasoning and questions to continue the conversation with your treating clinicians. WHITEGLOVEMD provides independent educational decision support; it does not direct treatment or replace the clinicians responsible for your care.

Is WHITEGLOVEMD a replacement for my surgeon or cardiologist?

No. WHITEGLOVEMD provides educational decision support and independent medical-record review. It does not diagnose, order, prescribe, treat, manage emergencies, provide postoperative care, or replace your treating clinicians.

What if my symptoms may be an emergency?

Do not wait for an online second opinion. Call 911 or seek immediate emergency care for possible emergency symptoms such as new or severe chest pain, severe shortness of breath, fainting, stroke symptoms, or rapid worsening. Ask your treating team whether there is enough time for another review in any urgent situation.

Before the first incision

Understand why before you decide.

Start with the written Heart Team review—or request a complimentary call if you want to talk it through first.