The major advantage of MiECC systems’ intrinsic characteristics is that they abet the best applying cardiovascular physiology to intraoperative perfusion, while they ultimately unify all three operative disciplinary techniques into a common strategy. This joined holistic effect of MiECC may be considered as a therapy in cardiovascular diseases. Many believe that using MiECC systems leads to an increase in the costs of cardiac surgery. This video explains in a simplified way how to transform a conventional circuit into minimally invasive extracorporeal circulation. Paradoxically, the video shows that fewer components are used than a conventional system.