Valve repair needs proper preoperative diagnosis, subtle patient selection, availability of transesophageal echocardiography, adequate surgical experience and proper rigorous follow up. In rheumatic disease, it poses special problems. We present our experience of operating upon predominant mitral regurgitation lesions with the help of repairing the valve. In young patients and pregnant females, it is an added boon to do repair in view of avoiding problems related to anticoagulation in mechanical prosthetic valve and degeneration in bioprosthetic valve. It also helps to preserve geometry of LV and decreases LV dysfunction as seen in valve replacement.