A surgical technique of tricuspid valve repair is described for correcting purely functional as well as organic valvular incompetence. The repair combines anteroseptal commissurotomy, an asymmetric ‘U-on-side’ anteroseptal suture annuloplasty, and a semicircular De Vega-type of plicating suture annuloplasty in the area of the posterior tricuspid leaflet. The technique was used in 52 patients, who also had surgery for the mitral and/or aortic valve, over a 10-year period between 1986 and 1997. Varying degrees of tricuspid stenosis were present in 62% of the cases. Two patients (4%) died from low cardiac output, but in only one was this related to the valve repair. Thirty-nine patients (78%) were followed up for 1-10 years. This method of tricuspid valve repair is simple to execute, easily reproducible, equally effective in correcting both pure tricuspid regurgitation and organic tricuspid valve disease, and appears to be extremely stable.