Complications are a fact of life in interventional cardiology. The unpredictable nature of the underlying cardiac disease, variations in operator technique and experience, and imperfect tools of interventional cardiology conspire to set the stage for complications. Interventional cardiologists as a group are perfectionist by trade. This has served the field well for improving patient outcomes, but also makes it hard to discuss outcomes when they are complicated by misadventures. Complications are the interventionalist’s oysters: ugly on the outside, but within, they hold pearls. Revealing these mishaps is inherently challenging, as it exposes one’s imperfections. Wisdom is built on the experience of complications and to share that wisdom with others, and provide the education that may help the next operator and patient solve the problem without further mishap is invaluable.