This one-day in-person Symposium addresses contemporary management of patients with advanced heart failure, divided into lectures and panel discussions on guideline-directed medical therapy, exercise testing, pulmonary hypertension in patients with heart failure, cardiogenic shock temporary and durable mechanical support device therapy, and heart transplantation, including multi-organ transplantation. We will also present State-of-the-Art lectures on cardiac amyloidosis, sarcoidosis, myocarditis, and adult congenital heart disease. The sessions will be interactive, partially case-based presentations and review guidelines and evidence gaps. The learner should come away with a better understanding of the expertise of an Advanced Heart Failure Physician/Surgeon and Advanced Practice Provider and the important role of the multi-disciplinary team structure in delivering care: “Shock Team,” “LVAD Team,” “Heart Transplant Team.” The Symposium hopes to forge relationships with Cardiologists and APPs in the Dallas Fort Worth Metroplex and beyond to share best practices and co-manage patients who need advanced heart failure therapies.