The last few years has seen a paradigm shift in the treatment of cardiovascular related diseases from once traditional open surgical modalities to the entire cardiovascular tree being amenable to percutaneous interventions. The tremendous advances in transcatheter endovascular procedures currently being applied to the heart and the peripheral vasculature have resulted in a treatment paradigm shift in the care of the cardiovascular patient. These changing winds in the treatment of cardiovascular disease require that a new type of cardiovascular specialist, code-named the cardiovascular hybrid surgeon, be trained to perform and provide seamless care in providing both endovascular as well as open surgical procedures to this increasingly complex group of patients.