Nurses are an essential partner in the treatment of complex diseases and they have extensive influence on patient outcomes. Connecting a patient to a machine takes courage, skill, and a whole lot of trust. Anyone who has earned the title of "nurse" has shown courage. Skill comes with hours and hours of practice. Trust is earned and ongoing. Combine these three attributes and you get the "care" that goes into nursing care. Low-density lipoprotein (LDL) apheresis is a well-established therapy for hypercholesterolemia. This article will focused on the Liposorber® MA-03 system in a brief conversation of LDL apheresis as it relates to nursing practice.