Around 70% of mechanical circulatory devices nd application as bridge to transplantation and 30% as destination devices, but shortage of donor organs forces up to 85% of these to enter the zone of destination devices. There is an urgent need to do away with drive lines as they contribute signicantly to morbidity and mortality with device implantation. Hybrid coupled energy transfer system offer advantages of prolonged support and the redundancy of back up emergency support with retro auricular direct back up which is very essential when considering these devices on their role as destination therapy devices. Initial use has given promising results and devices that are emerging in the horizon like Saispandan would pave way for major technological advances in this eld. The power of prescribing a total articial heart as destination therapy would soon be a reality due to explosion of technology in multiple integrated disciplines.