The title "Open Heart Surgery" refers to the actual event for the author, but also reflects that he tries to reveal what he internally feels about current events in America. The 74 poems are on such subjects as MAGA, Pro Life, the Border Crisis and Global Warming. The conservative view on these issues is not found in typical books of poetry. He writes in a traditional poetic style, with meter and rhyme, but he enjoys a touch of humor in much of his poetry.