From February 1985 to May 1989, 124 cases of cardiac surgery were performed under cardiopulmonary bypass at Dae-Jeon Eul-Ji General Hospital with the overall mortality of 8.06 We obtained relatively a higher mortality than other hospitals. The reasons are advanced disease status, inadequate preoperative diagnosis, lack of experience of surgeons in open heart surgery, lack of numbers and qualities of monitoring device and ventilator, and frequent migration of medico-surgical team. Most of the reasons are specific to the condition of the private hospital. The purpose of this article is going to make better preoperative and postoperative result by reviewing experienced cases with related articles.