Obstruction in Hypertrophic Cardiomyopathy: Many Faces

•Doppler allows for evaluation of LVOT, midventricular, and multilevel obstruction.•An organized approach is needed for dynamic LVOT obstruction provocation.•Doppler evaluation is integral for HCM myosin inhibitor management.•TTE guides SRT candidacy, intra-procedural assessment, and post-SRT follow-up.