I am a 68-year-old white male. I have had two heart bypass surgeries -- a quadruple in 1997 and a triple in 2005. I had a small heart attack in Dec. 2003. I have had two more heart attacks within the past three years. I also have three heart stents. I am 5 11 tall, and I weigh approximately 235 pounds (about 40-45 pounds overweight in my estimation). I do not get enough aerobic exercise. I have a Catch 22 situation when I walk for exercise -- I know it s good for me, but I get chest pains often and have to stop. My sleep habits are not ideal -- I am a night owl and go to bed sometimes at 3 or 4 o clock in the morning. Then I will sleep until 11:00 a.m. or 12 noon. (A bad habit that I am trying to quit ). Question: If a scenario should develop in the future where my cardiologist advises that I need another bypass surgery, should I think long and hard about having a THIRD such procedure? I have said I will take a long walk off a short pier before I EVER have another bypass operation. Another stent would be o.k., but it seems to me that I would be tempting fate to undergo a THIRD bypass surgery. Is it a regular thing for people to have three or maybe four bypass surgeries? I feel lucky and blessed to be 20 years out from my first bypass and 12 years out from my second procedure. I do have periodic angina, and I pop nitro pills about twice a week. Two nitro tabs usually does the trick and I get relief. What would be your medical advice to me if I were YOUR patient? I see my cardiologist 3-4 times a year, but I have never specifically put this particular question to him. I would greatly appreciate your reply to my concerns, and thank you for your time! -- Buddy in North Carolina