Bicuspid valve disease one of the most common congenital heart defects, affecting 1-2% of the entire population. Because it is asymptotic for many who have it, or for much of their lives, detection and treatment can be complex. Kyle Eudailey, MD, discusses the three common ways that symptoms of bicuspid valve disease complications present themselves, as well as the ages at which these symptoms usually occur. He describes the multidisciplinary approach needed for successful treatment at various ages and the importance of screening relatives of those diagnosed with the disease.