I've had a pacemaker since 2011 with the usual adjustment hassles but it all works so :) However, I am now being awarded a double valve replacement (atrial and mitral) via OHS. My Cardiologist was talking about natural valves because I was active and young (relatively speaking - 55). My Cardiac Surgeon went with suggesting artificial ones as natural wear out quickly which of course means Warfarin. I'm not too fussed about the regular testing and I'm happy to buy a home test machine but I am concerned about the impact Warfarin could have on my lifestyle. I'm no sporting person but I was hoping to do more hiking once my valve problems were fixed and more importantly I am a passionate skier (intermediate, not steeper and deeper). A couple of medical people have expressed concerns about skiing on warfarin. I'd love to hear from people about their experiences with living on Warfarin and its impact on their activities. At least as an Aussie I dont have to worry about access to and cost of the drug!