A complicated, rare cardiac surgery was performed successfully on 16th November 2018 by a team led by internationally renowned Cardiac Surgeon from Assam Dr. Apurba Kumar Sarma at Nemcare Heart Institute & Research Centre, Guwahati. The 28 year old patient Mr. Lakhyajit Saikia who hails from Nagaon was diagnosed with Marfan’s Syndrome. It is a rare genetic disorder of the connective tissue and can cause problems in the eyes, joints and heart. Involvement of the heart is the most serious complication which over time can cause the aortic dilatation and finally rupture which is fatal. The heart valve may become floppy and leaky leading to various symptoms. Having breathlessness for last few years Mr. Saikia consulted at various Cardiac centres in NE region and Bengaluru where the high post operative complications and mortality rates upto 80-90% were explained to the family. The cost of the surgery was unaffordable to the family which was said to be between 8-10 lakhs of rupees. They then came back to Guwahati and consulted Dr. Apurba Kumar Sarma who heads the Nemcare Heart Institute, Guwahati. Dr. Sarma decided to operate upon the patient after proper evaluation and adequate preparation for operation. “BENTALL DE BONO” surgery was performed on 16/11/2018 which involves composite graft replacement of the aortic valve, aortic root and ascending aorta with re-implantation of the coronary arteries into the graft. The post operative course was uneventful, the patient has been relieved of his cardiac symptoms and is ready for discharge from the hospital. It is an encouraging news for the cardiac patients of the region who require complicated surgeries. World class cardiac surgery facilities and skilled manpower are available in the state and is ready to provide service to people of the region at an affordable cost.