Educational material will be presented in the form of lectures, case presentations, and informal discussions that together will provide a comprehensive review of how perioperative TEE can be used in patients undergoing valve repair and replacement to guide surgical decision-making preoperatively, and postoperatively in patients presenting with complications. In addition, the role of TEE in facilitating interventional guidance and clinical decision-making for patients undergoing Mitral Clip, Mitral Valve-in-Valve, Perivalvular Leak Closure and Mitral Valve surgical assesment.