Coronary bypass graft surgery is a landmark date in the lives of people who need it, marking the transition to significantly improved quality (and often quantity) of life (Figure). Development of bypass graft failure is another landmark date that often signals the beginning of the end. As reported by Iqbal et al1 in this issue of Circulation: Cardiovascular Interventions, mortality during the first year after bypass graft failure is high (5%–9%), well above the 3% threshold, used to define high cardiac risk.