Rebecca T. Hahn, MD, FASE, discusses the recently published ASE guideline, Recommended Standards for the Performance of Transesophageal Echocardiographic Screening for Structural Heart Intervention. The guideline is intended for the Level II or III echocardiographer whose pre-procedural imaging becomes the backbone of structural heart disease (SHD) procedural planning for the heart team. The structured imaging acquisition protocols and extensive figures and tables show examples of the protocols and should benefit all echocardiographers involved in the care of SHD patients.