Myocardial bridge is common, benign and rarely necessitates testing or intervention. Beta-blockers or calcium channel blockers are useful treatment options. Document ischemia before intervention by dobutamine stress echocardiography (DSE), DS- myocardial perfusion imaging (MPI), DS- diastolic fractional flow reserve (dFFR). Minimally invasive surgical unroofing (myotomy) can help in some patients. Coronary stenting is likely deleterious.