I machined our heatsink design on a Langmuir Systems MR-1, acting as the main operator, and built out tool libraries and custom settings in SolidWorks CAM to support the work.
Starting billet after facing. I am unable to show the final heatsink design here.
I designed a vacuum table to hold down flat aluminum billets during machining, but it didn't generate enough hold-down force to work reliably. I switched to facing a flat plastic backer board and bolting the billet through it into the base instead.
The process took a 1" thick aluminum billet and machined it from both sides down to a 1mm thick plate, a job most outside shops wouldn't even quote. The suppliers who did quote it came back at $6,000-$10,000; I produced the same part in-house using about $150 of raw aluminum.
CNC test pieces.