A recommendation is not an explanation
Your Incision Should Be Your Decision™
Sometimes surgery is exactly right. Sometimes another path or a missing input deserves discussion. A cardiac surgeon and cardiologist virtually review the required records and imaging, then explain how the indication, timing, alternatives, risk, and setting fit together.
No referral or call is required to purchase. Begin securely online from home.
After a call request: A member of our team will call within 2 business hours. During business hours, a same-day conversation with a cardiac surgeon or cardiologist may be arranged only when clinically appropriate and a physician is available.
Every package includes both independent physician reviews and the co-signed written report. Higher service levels add one or both reviewing physicians live, or support through surgery day.
A useful answer examines four connected decisions.
Four clear service levels
See every price and purchase directly. Every package includes both independent physician reviews and one co-signed report.
Compare every package detailTwo independent physician reviews and one co-signed report explaining whether the indication, timing, approach, and setting fit the required record.
The same written recommendation review, plus a one-hour video or phone consultation with one reviewing physician.
The same written recommendation review, plus both reviewing physicians together in one live conversation.
The Heart Team review and consultation, plus concierge access for questions through surgery day.
The report is delivered within 24 hours only after all required records and imaging are received and confirmed complete. Time spent gathering missing records is outside the 24-hour window.
No referral or call is required to purchase. Direct-pay · secure one-time payment · no subscription · WHITEGLOVEMD does not submit insurance claims.
What “necessary” really means
The decision is not simply surgery versus no surgery. It is whether the indication, timing, approach, tradeoffs, team, and setting fit the individual case.
Symptoms, disease severity, heart function, anatomy, testing, and the treating team’s reasoning should be considered together—not reduced to one diagnosis.
Timing can depend on symptoms, progression, anatomy, ventricular response, and what may happen if treatment is deferred.
When relevant, the review compares surgery with catheter-based, less-invasive, medical, or monitoring pathways.
Expected benefit, operative risk, durability, recovery, future options, and important missing inputs belong in the same discussion.
Procedure-specific experience, clinical complexity, geography, transfer options, and the patient’s priorities can all affect the decision.
What another review can clarify
A useful review may support the proposed plan, surface missing evidence, or identify another relevant path to discuss. Its job is to make the reasoning visible—not manufacture disagreement.
A confirming review can still be valuable when it explains why the operation, timing, and approach fit before consent.
The report can identify the studies, images, risk inputs, or treating-team questions needed to understand the recommendation.
When the required record supports it, the report can explain a catheter-based, less-invasive, medical, monitoring, or different surgical path to discuss with the treating team.
The evidence behind the recommendation
Upload what you have. With your authorization, WHITEGLOVEMD can help identify and request the materials needed for review—including the actual cardiac imaging when relevant, not only the written report.
Cardiology and cardiac-surgery notes, symptoms, diagnoses, medications, prior procedures, and relevant medical history.
Echocardiography, catheterization, CT or MRI, rhythm or stress testing, laboratory results, and the images when relevant.
The operation, timing, planned approach, treating hospital, and alternatives already discussed with you.
Conflicting measurements, missing studies, changing symptoms, incomplete risk inputs, or parts of the recommendation that remain unclear.
WHITEGLOVE Heart Team
A cardiac surgeon and cardiologist review independently before bringing their perspectives together. The goal is not to push you toward or away from surgery. It is to explain how the recommendation fits.
Reviews the surgical indication, anatomy, proposed operation, technical options, timing, and perioperative considerations.
Reviews the diagnosis, testing, imaging, medical context, and relevant non-operative or catheter-based options.
WHITEGLOVE Insights™One co-signed, patient-facing explanationIndependent review · physician conference · two signaturesWHITEGLOVE Insights™
The report ties each conclusion to the required record and gives you questions for the clinicians who know and treat you.
See a sample reportPrepared for
Which findings in the required record support surgery—and which facts remain uncertain.
What the available record suggests about urgency, with current symptoms and treating-team judgment kept in view.
Reasonable approaches, expected benefit, procedure-specific considerations, important inputs, and model limitations.
A practical list to take back to the cardiologist and surgeon who can examine you and direct care.
Published clinical frameworks
These sources describe general decision frameworks. They do not determine whether surgery is necessary for any individual person.
The 2021 ACC/AHA/SCAI revascularization guideline emphasizes patient-centered decisions, patient preferences, shared decision-making, and a Heart Team when the optimal coronary strategy is unclear.
American College of Cardiology · 2021 revascularization guidelineA 2026 ACC, SCAI, and STS joint statement reaffirmed multidisciplinary Heart Team review and shared decision-making for aortic valve replacement choices.
ACC · SCAI · STS · 2026 joint statementThe current STS Adult Cardiac Surgery risk calculator estimates procedure-specific operative mortality, major morbidity, and short-term outcomes and is designed to support physician-patient decision-making.
Society of Thoracic Surgeons · ACSD Operative Risk CalculatorExactly how it works
You bring the recommendation and the question. The records team helps assemble what the reviewing physicians need.
See every price and purchase securely online. No referral or introductory call is required; request a complimentary call only if you want help choosing.
Upload what you have. With your authorization, the records team can help identify and request the relevant reports and actual imaging.
A cardiac surgeon and cardiologist review the same required records and imaging independently, then confer.
The report is delivered within 24 hours only after all required records and imaging are received and confirmed complete. Time spent gathering missing records is outside the 24-hour window. Both reviewing physicians co-sign the patient-facing report.
The report is delivered within 24 hours only after all required records and imaging are received and confirmed complete. Time spent gathering missing records is outside the 24-hour window.
Independent educational review
WHITEGLOVEMD reviews the required records and imaging and explains how the recommendation fits in writing. The treating team remains responsible for examination, testing, prescriptions, treatment, urgent decisions, and ongoing care.
Ask whether a review fitsFrequently asked questions
Direct answers about the evidence, alternatives, physicians, records, timing, cost, and urgent care.
No diagnosis or website can answer that by itself. A useful review considers the required records and imaging: symptoms, disease severity, heart function, anatomy, testing, the proposed operation, timing, risk, and reasonable alternatives. WHITEGLOVEMD has a cardiac surgeon and cardiologist review those materials independently and co-sign one patient-facing report.
Yes. A valuable review does not need to disagree with the original recommendation. Confirmation can help by making the indication, timing, approach, tradeoffs, and remaining questions easier to understand before you move forward.
When alternatives are relevant to the documented anatomy and clinical situation, the report can compare surgery with catheter-based, less-invasive, medical, or monitoring pathways. It also explains when an alternative may not fit the required record.
At every service level, a cardiac surgeon and cardiologist independently review the same required records and imaging, confer, and co-sign one patient-facing WHITEGLOVE Insights™ report. Consult adds one reviewing physician live; Heart Team and Concierge bring both reviewers together live.
The exact materials depend on the decision. They may include cardiology and surgery notes, echocardiography, catheterization, CT or MRI, laboratory results, prior operative reports, and the proposed plan. With your authorization, the records team can help identify and request relevant missing materials.
The report is delivered within 24 hours only after all required records and imaging are received and confirmed complete. Time spent gathering missing records is outside the 24-hour window.
WHITEGLOVE Insights™ is $495 and includes the two independent reviews and co-signed written report without a live consultation. Consult is $995 and adds one reviewing physician live. Heart Team is $1,495 and brings both reviewing physicians together live. Concierge is $2,495 and adds support through surgery day. You can see every price and purchase online without a referral or introductory call.
Do not delay urgent or time-sensitive care to wait for an online review. Ask the clinicians responsible for your care whether it is medically reasonable to take time for another review, and continue following their instructions while records are gathered.
If your treating team says there is time
You do not need every record—or the right medical words—to begin.
After a call request: A member of our team will call within 2 business hours. During business hours, a same-day conversation with a cardiac surgeon or cardiologist may be arranged only when clinically appropriate and a physician is available.
No referral · no travel · records help available