Clinically significant mitral regurgitation is often found in conjunction with severe aortic valve stenosis. Adding mitral valve surgery to an aortic valve replacement (AVR) increases the operative risk. However, this increased operative risk may be reduced if, during AVR, a standard double-valve surgery is avoided and AVR isperformed instead with a transaortic edge-to-edge repair of the mitral valve. Utilizing a minimally invasive approach with this technique may further reduce the operative risk when compared to a median sternotomy approach. The procedural technique for this surgery is described in the present report.