ABSTRACT Quality assurance and control during the mechanical heart valve components’ production process is paramount to mitigate most of the valve-related complications arising from valve replacement. Nondestructive evaluation of heart valve implants with complex profiles during production is challenging due to the biocompatibility requirements and clean room assembly conditions. This study first tested the UHMWPE disc of TTK Chitra mechanical heart valve models TC1 and TC2 using Terahertz imaging in reflection mode. The UHMWPE discs were raster scanned in X-Y directions to obtain a Terahertz-C scan to locate the macro defects due to wear out, and to distinguish between the true positive and true negative samples. The results were verified with digital microscope studies. Second, this study investigates a unique relationship between Terahertz imaging in reflection mode and heart valve disc degradation due to accelerated durability study. Third, the variation of disc surface roughness due to accelerated durability test was studied by Gaussian curve fitting analysis of fast Fourier transform of the Terahertz reflections. Finally, a comparison between the TC1 and TC2 heart valve model’s wear-out foot print was carried out using Terahertz C-scan. Our results imply that Terahertz time-domain spectroscopy has promising applications in NDE measurements of biocompatible implants.