Background: Percutaneous aortic valve implantation is increasingly available to elderly patients with aortic stenosis, with potential to reduce hospital length of stay and associated morbidity. We aim to evaluate early clinical outcomes of octogenarians undergoing surgical aortic valve replacement (SAVR) via median sternotomy to determine perioperative risk factors and the impact of surgery on discharge destination. Methods: A retrospective observational study involving 57 consecutive octogenarians who underwent aortic valve surgery between 2011 and 2014. The study assessed preoperative co-morbidities and postoperative outcomes. EUROSCORE II online calculator was used for risk stratification. Results: The average age of patients was 82.6 years (±2.94). Operations performed included: isolated AVR (41.3%), AVR and coronary artery bypass grafting (CABG (48.2%) and other surgery with concomitant AVR (10.3%). Average EUROSCORE II was 7.46 (±6.38). Median length of hospital stay was 10 days. Postoperative outcomes included mortality (5.1%), cerebrovascular event (3.4%), permanent pacemaker (6.9%), residual aortic regurgitation (0%) and prolonged ventilation (15.5%). Discharge home was seen in 74.1% of patients, 18.9% required in-hospital rehabilitation and 2% required placement in a nursing care facility. Conclusion: Age alone should not preclude consideration for SAVR in the octogenarian population with acceptable morbidity and mortality rates despite current risk stratification tools suggesting higher mortality. While transcatheter AVR may offer a reduced length of hospital stay, patients can expect to return to their principle place of residence following SAVR.