Minimally invasive, Hybrid and Robotic cardiac surgery is currently becoming a routine practice in many centres worldwide. This has been true in our experience also as patients’ perceptions and expectations have changed. Patients increasingly ask for a therapeutic approach that leaves the sternum intact. Those doctors who want to meet this new challenge therefore need to realize that minimal incisions in cardiac surgery require greater technical skills. The different approaches need their own learning curve, either straightforward or a steep one. Our recent experience demonstrates that a comprehensive, three-step schedule allows a safe and custom-made approach to train new surgeons in the field. and enhances enthusiasm in developing further strategies on their own. A record of conversion-rate and complications should be used as marker of performance and quality standard. The new adopters can take their own training pace according to their level and skills. Interestingly, the wider the offer of approaches, the more ideas come up for new alternative minimally invasive methods. Our initial results at our newly established centre proves the efficacy of our approach.