As a cardiac surgeon who regularly treats and operates on patients for severe coronary artery atherosclerosis, I recognize that surgery is a palliative operation. It improve the quality of life and sometimes the life expectancy of patients. However, without follow-up and strict adherence to quality of life chances, healthy dietary adherence, and meticulous evaluation of lipid and cholesterol levels with expert guidance on the use of statins, pcsk9 inhibitors, and now bemoedoic acid, the likelihood or recurrence of disease that needs intervention or becomes life threatening is significant. Ideally, paying attention to healthy living, lipid and cholesterol management, as well as dietary choices prior to the onset of disease, is what everyone should be practicing. Robert Caccavale, MD whom I have known for the last 30 years, an accomplished Thoracic surgeon, but who for personal and family health reasons has become a scholar in cholesterol/lipid management, glucose/insulin intolerance, as well as dietary, exercise and quality of life choices, has been my go-to physician for myself and my family, all of whom have a strong family history for atherosclerotic heart and stroke disease. Bob’s insight and management style is meticulous, personable, as well as scientifically based. It has become very clear to me as a cardiac surgeon, that Dr. Caccavale’s skill set and presence on the health team treating and preventing cardiac disease is a necessity for anyone ever requiring a cardiac intervention, or with risk factors or family history that makes cardiac disease a concern.