21.   Sometimes the surgeon has no choice but to perform a laparotomy, an internal examination with a scope that is inserted into the abdomen through a tiny incision.

22.   Surgeons had to cut an opening in the sac that encloses the heart to let fluid drain.

23.   Surgeons had to take off what remained of his mangled leg.

24.   Surgeons have it.

25.   Surgeons would have to crack his sternum and remove the sac.

26.   Surgeons had to cut out two pockets of dead flesh.

27.   The problem is that surgeons have only a limited amount of movement possible when moving the tubes in and around the incision.

28.   Then the surgeons had a look around, checking for any problems that might complicate the procedure.

29.   Then the surgeons had to be sure that the man was big enough for the grapefruit sized AbioCor to fit inside his chest.

30.   They should keep in mind which hospitals are conveniently located, which are covered by their insurance and how much experience surgeons have with the procedure.