Dr Rathore operate his all patients using this technique with multi-arterial conduits, unless patient is severely compromised and need cardiopulmonary bypass support. OPCABG surgery is surgeon depend technique where over-all outcomes depend heavily on the surgeon’s comfort and dexterity with this technique. It is performed with beating heart and working lungs, so reported with better early recovery, lesser blood transfusion and other in-hospital outcomes. Heart is stabilized with the use of various commercially available stabilisers and intra-coronary shunts. Although, not used by majority of the surgeons, cardiac surgery literature is full of good results of this OPCABG surgery and big advantage is the avoidance of the cardiopulmonary bypass machine and stopping of the heart..