For women requiring valve replacement surgery, it is unclear which type of valve offers the greatest chance of a healthy pregnancy. This case describes a successful pregnancy outcome following the Ross procedure, which involves replacing the aortic valve with an autologous pulmonary valve. Due to left ventricular outflow tract obstruction, this patient required an aortic valve replacement surgery. She underwent the Ross procedure at age 16 and became pregnant 11 years later. During pregnancy, she was able to avoid the risks of anticoagulation. She underwent an assisted second stage of labor and went on to deliver a healthy infant. This case illustrates that the Ross procedure may be an alternative treatment for aortic valve replacements in women of child-bearing age.