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Minimal invasive coronary artery bypass graft surgery is a newer technique where coronary revascularization is done through mini thoracotomy and by avoiding sternotomy and full cardio pulmonary bypass and with minimal handling of heart which offers better post operative outcome, less complications, early return to home and overall better compliance as well as patient satisfaction and acceptable cosmetic outcooutcome.As there is a steep learning curve,with course of time there is always a scope to improve the technique for further better outcome.