I also reviewed the US News and World Report “Best Hospitals” rankings,9 but I wanted to clarify how they were formulated. I learned that “Best Hospitals” are ranked by specialty, not procedure. As a result, these rankings may include SAVR within the conditions analyzed, but they do not present data on outcomes for that particular procedure. Furthermore, their rankings are provided as a starting point to consider, not as a definitive guide for where to go for medical care. The Society of Thoracic Surgeons data and the “Best Hospitals” rankings were thus not of material assistance. I determined that the New York State Department of Health (NYSDOH) publishes reports with cardiac surgery outcomes from individual hospitals and surgeons in New York State.10 Having reviewed the cardiac outcomes in New York State, I proceeded to the next step: determining which hospitals and surgeons had the best outcomes specifically for isolated SAVR and TAVR.