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On October 13, 1986, the formal initiation of surgery for Atrial fibrillation in a human took place [1]. Although it was not really a Maze procedure, as we know it today, this was the predecessor of the true Maze. However, the first Maze I procedure, recognized as such, it took place on September 25, 1987. Since then, the Maze procedure has evolved considerably. However, the secret for the Maze’s success has consisted in knowing how to preserve its essence as a “full bi-atrial lesion pattern” [2]. We discuss in this paper the essence and basic aspects of the Atrial Fibrillation (AF), as well as the principles about how the Maze procedure works. This will enable us to get a general overview in order to understand the current approaches of the Maze procedure and how effective they are. Basic Considerations

The Maze that is Not Maze: It is Not Filling the Gap!