In Minimally invasive heart surgery the patient experiences less pain and quicker recovery Aim: the study aimed to assess nursing care on patient's outcomes after minimally invasive and conventional cardiac surgery Patient and method. Design: descriptive research design was utilized in the study. Setting: this study was conducted in the postoperative ICU, Heart Assuit University Hospital. Sample: a convenience sample of 60 patients 30 minimally and 30 conventional. Four tools have been to utilized to gather the data, ToolI: patient's assessment sheet, Tool II: Intraoperative assessment sheet, Tool III: postoperative assessment sheet and Tool IV: patient outcome assessment sheet. Results: A number of clinical outcomes were significantly improved with minimally than conventional including pain assessment30.8%, quality of life91.27±3.03,blood transfusion35.1% and length of stay in intensive care unit.was3.04±0.74.Conclusions:assessment of nursing care founded that patients with minimally invasive associated with decreased bleeding, blood product transfusion, ventilation time, intensive care unit stay and less pain than conventional group. Recommendation: Establishing a standardized protocol for nursing care after cardiac surgery. Repeat this research on a large probability sample acquired from different geographical areas in Egypt.