[1] It involves removing the diseased aortic valve, situated at the exit of the left side of the heart (where the aorta begins), and replacing it with the person's own healthy pulmonary valve (autograft), removed from the exit of the heart's right side (where the pulmonary artery begins).

[1] It is not performed if Marfan syndrome, pulmonary valve disease, or immune problems like lupus are present.

[3] Due to a higher chance of dysfunction of the autograft, it may not always be safe to perform in rheumatic valve disease, or if a dysplastic dilated aortic root is present.

[6] Complications include endocarditis, degeneration of the valves, aortic dissection, haemorrhage and venous thromboembolism, among others.

[4] It can be performed using the traditional subcoronary method or more commonly the root replacement technique, which requires re-implanting the coronary arteries.

[7] The most common reason for performing the Ross procedure in children and young adults is for bicuspid aortic valve.

[3] Due to a higher chance of dysfunction of the autograft, it may not always be safe to perform in rheumatic valve disease, or if a dysplastic dilated aortic root.

[7] Complications include endocarditis, degeneration of the valves, aortic dissection, haemorrhage and venous thromboembolism, among others.

[3] Subsequent steps include removing the diseased aortic valve and mobilizing the coronary arteries, followed by harvesting and preparing the person's own healthy pulmonary valve, before implanting it within the left ventricular outflow tract, the exit of the left side of the heart (where the aorta begins).

[2] If the left sided outflow root needs to be enlarged to fit the pulmonary autograft, the procedure is called Ross-Konno.

[11] Marian Ionescu in Leeds, in an attempt to seek other materials, unsuccessfully tried fascia lata from the person's own thigh to create a living valve.

[11] The Ross procedure was continued and modified by Magdi Yacoub, who used fresh valves from the explanted hearts of transplant recipients.