Baylor St. Luke's Medical Center is the primary private adult hospital affiliate of the College. Fellows spend twenty-one months at Baylor St. Luke's rotating on a multiple cardiothoracic services, including adult cardiac surgery, cardiothoracic transplantation, aortic surgery, structural heart, and general thoracic surgery. Baylor St. Luke's and the Texas Heart Institute, which is partnered and co-located with Baylor St. Luke's in the provision of cardiovascular clinical services, have a rich history in cardiothoracic surgery. More that more than 140,000 cardiac procedures, more than 1,400 heart transplants, more than 1,200 ventricular assist devices (VADs) s and more than 7,000 complex aortic reconstructions have been performed at Baylor St. Luke's. This hospital has twelve dedicated cardiovascular-thoracic surgery operating rooms, including two hybrid cardiovascular operating rooms and two robotic operating rooms. Consistent with the standing of the Texas Heart Institute and Baylor College of Medicine as leaders in cardiovascular surgery at BSLMC, a number of clinical trials involving contemporary devices in aortic endografting, structural heart valves, VADs, and ex-vivo organ care systems are under clinical trials and investigation at our flagship adult hospital affiliate. BLSMC is also the private hospital partner for the Baylor College of Medicine Dan L. Duncan Comprehensive Cancer Center, an NCI designated comprehensive center, enabling fellows to participate in clinical studies in thoracic oncology.