This article discusses the Ross procedure in young adults with aortic valve disease, highlighting its excellent long-term outcomes, including a 94 percent survival rate at 10 years and a 70 percent survival rate at 25 years. Improvements in patient selection and surgical techniques since 2000 have enhanced both clinical results and quality of life, with mental health scores notably surpassing those of the general population. Overall, the Ross procedure offers significant benefits for young patients, ensuring stable valve function and improved quality of life.