This study summarizes the results in 107 patients with triple valve procedures (TVP) performed between 1972 and 1983. Forty-five patients underwent double valve replacement with tricuspid annuloplasty, and 62 simultaneous triple valve replacement. The hospital mortality was 19.6 % (21 patients) and was influenced by: The late mortality was 9 % per patient-year (18 patients, 9 of whom died in the first year), the majority related to cardiac causes. The 5-year survival rate was 53 %. It appears that the survival rate is higher if the patient is in preoperative functional class II (55 %), the right ventricular pressure is below 60 mmHg (67 %), and if the operation is performed electively (57 %). The findings suggest that surgery should continue to be offerred to such patients.