If you have been told you might have heart blockage, Do they always have to put in stints or can cholesterol lowering pills ever fix the problem without any surgery? Going to have a stress test done in a month but just curious now. I think I found an answer. The appropriate treatment for blockages in the arteries that supply the heart is dependent on the severity, location, symptoms and other medical conditions. Without knowing this information it is very difficult to say which option is the best for you. Regarding the treatment of blockages the options include medications and procedures to fix the blockage (revascularization), such as angioplasty with stent placement or coronary artery bypass grafting. Frequently medications are used in addition to a revascularization procedure. The medications currently available can stabilize the blockage and prevent it from enlarging, which reduces the chance of plaque rupture at the blockage leading to a heart attack. The medications currently available do not dissolve the blockage or make it disappear, but instead stabilize it so it would be less likely to lead to a heart attack. So to answer your question, yes it is certainly possible to use medication alone without any revascularization procedure for some types of blockages. The presence of symptoms and the underlying heart condition is very important in determining the most appropriate treatment. There are several medications used to treat blockages, including blood thinners (Aspirin, Clopidogrel), cholesterol lowering medications (Statins, Niacin), beta blockers and nitrates. The best therapy will vary and your doctor will determine the most appropriate regimen in your case. You will have more information after your stress test to help determine the best therapy in your case. Good luck.