Background: We used to compare the midterm outcome of the technique in which a piece of synthetic tube graft of PolyTetraFluoroEthylene (PTFE) is used as an annuloplasty flexible band versus suture segmental annuloplasty for management of functional tricuspid regurge in settings of rheumatic mitral valve pathology. Objective: In this article, we compared midterm results of segmental suture annuloplasty versus a technique in which a piece of PTFE tube graft is used as a modified flexible band for annuloplasty. Patients and Methods: This is a retrospective study compared the management of functional tricuspid regurgitation caused by surgery for rheumatic valve disease between patients who got flexible band annuloplasty (n = 84) and suture segmental tricuspid annuloplasty (n = 96) with a mean follow-up of 24 months. Results: There were no mortalities in both groups at thirty days after the operation, degree of tricuspid regurge was lower for the band group after 24 months follow up by echocardiography, we found no need for reoperation in both groups for tricuspid regurge at 2-year post operatively. Conclusion: In cases of functional tricuspid regurge linked to rheumatic mitral pathology, the flexible band annuloplasty technique using a piece of PTFE tube graft demonstrated a good outcome and tendency for improved results and better durability of repair than suture annuloplasty for longer follow-up periods to confirm.