Filmed at the 2019 EACTS Annual Meeting in Lisbon, Portugal, Patrck O. Myers of the Lausanne University Hospital in Switzerland moderates a discussion on the different options for managing the aortic valve in children. He is joined by David Kalfa of Columbia University in New York, Rudolf Mair of Linz, Austria, and Christian Brizard of Royal Children's Hospital in Parkville, Australia. They discuss the options of repair, reconstruction, and replacement.