Valve-in-valve transcatheter aortic valve replacement (VIV TAVR) has been recently utilized as an alternative for prohibitive surgical risk patients with aortic insufficiency of the native valves. When using this approach, placing a single bioprosthetic valve could possibly leave the patient with persistent significant aortic insufficiency. Based on these circumstances, we developed an approach where we place a second TAVR valve within an already positioned valve to achieve an appropriate result. We present two cases of an elective VIV TAVR in a TAVR valve in cases of aortic insufficiency.