The authors present 3 clinical cases of tricuspid valve replacement using a mitral homograft. Surgical technique of mitral homograft implantation is described in detail. For clarity, the article is supplemented with original illustrations. At the end of description of surgical technique, a short question-and-answer discussion is provided. The authors present early postoperative results. The debatable issues regarding the indications for this procedure and surgical technique itself are briefly analyzed. Although there are no long-term results of tricuspid valve replacement using a mitral homograft and immediate results are not systematized, we believe that mitral homograft is an excellent prosthesis. This procedure can improve survival and quality of life in certain groups of patients. Decision making on mitral homograft implantation should be performed individually, and this surgery cannot yet be used routinely due to some difficulties described in the article.