There is limited literature available regarding PV (pulmonary vein) stenosis management. Difference of opinion starts right from incidence of PV stenosis secondary to catheter ablation to its management, and continues about subsequent follow up using imaging technologies to monitor the success. However, with newer technological advancements and better understanding of mechanism of atrial fibrillation ablation, incidence of PV stenosis secondary to catheter ablation is on decline. We aimed to highlight the current trends and future of management of PV stenosis secondary to catheter ablation for atrial fibrillation.