Abstract
This chapter describes the most important technical aspects of the cardiac resynchronization therapy device implantation. It includes the technique of anesthesia, venous access, pocket creation, coronary sinus cannulation, left ventricular lead placement, etc. The description of the necessary tools is made to help implanting physicians become familiar with and overcome possible challenges during the procedure. We compare several techniques for every step, underlining their advantages and disadvantages. We mention a list of tip and tricks that will help physicians perform implantations and become more proficient. Numerous figures and images are used to make the explanation of the technique more comprehensive.