Patch sends a UNIT_ATTENTION(6), MEDIUM_MAY_HAVE_CHANGED(0x28) sense when cdrom transitions from not ready to ready. I used the following documentation: ATA Packet interface for CD-ROMS, SFF8020i.pdf. See state diagram Figure 12, page 82 and Table 44 -recommended Sense Key, ASC With patch in place HVM win2008 server guest sees the CD/DVD contents have changed when the media is switched. Patch applies to SVN revision 4456.