Abstract: Minimally invasive aortic valve surgery by definition means performing procedures through alternative approaches without the need to divide the sternum completely. Even though this contributes towards lowering the mortality and morbidity of patients, minimally invasive techniques have to be tailored to the unique patient as well as surgeon characteristics. With the advancements made in invasive cardiology techniques, the line between invasive cardiology and minimally invasive cardiac surgery is becoming thinner and thinner. We are presenting state-of-the-art techniques and outcomes for surgical aortic valve replacement via upper mini-sternotomy or anterior right mini-thoracotomy. In addition, aortic valve repair and valve-sparing procedures through a minimally invasive approach are discussed.