We carried out first bilateral internal mammary artery grafting in March 93 and ever since the number of patients receiving bilateral internal mammary artery grafts has constantly grown. This study is a review of first 10 patients who were operated between March 93 to August 95. Age ranged froom 35 - 47 and the median age was 45 diabetes were excluded. All the operations were elective in nature. All patients received additional saphenous vein grafts. 3 patients had sequential LIMA grafts constructed between diagonal and LAD. There was no mortality and 8 patients made uneventful recovery. One patients developed perioperative MI and required balloon pump support, and two required reopening . None of the patients requried inotropic support. No sternal wound problems occured. In conclusion bilateral internal mammary artery grafting does not increase surgical risk and wound infection is not a problem if diabetics are excluded.