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Mayo Clinic cardiac surgeon Joseph Dearani, M.D., shares frequently asked questions regarding Ebstein’s anomaly. Visit http://www.mayoclinic.org/diseases-co... for more information on Ebstein’s anomaly or to schedule an appointment. One of the most frequently asked questions for Ebstein’s anomaly patients is regarding the timing of the procedure. The timing can have great impact on the outcome, and currently, patients are being operated on earlier, and the risk of surgery is very low. In recent years, the cone technique has been applied and the results are favorable. It is usually recommended that the operation take place once symptoms are present, however in children, symptoms are often not present unless cyanosis is the presenting symptom. It is recommended that surgery is avoided during the neonatal period; however, in some situations it is necessary.