In a recent meta-analysis, Mazine et al. [14] have speculated that in cases of posterior MV leaflet prolapse, chordal replacement techniques will result in lower MV gradients when compared to leaflet resection techniques. Our results failed to demonstrate any significant effect of posterior leaflet resection on postrepair gradient. This is likely related to the fact that we primarily used leaflet resection techniques to address excessive posterior MV leaflet tissue and structurally avoided excessive resection. Should this be avoided, no significant shortening of the posterior leaflet free edge, that could at least theoretically limit diastolic leaflet mobility, is to be expected. Functional MV stenosis should not present a reason not to perform adequate leaflet resection when this is indicated, an opinion previously emphasized by our group and others [15–18].