Pediatric cardiology is a developing specialty, especially in developing countries like India. The magnitude of the problem is considerable and is often understated and underestimated. No clear data regarding the morbidity due to undiagnosed and untreated CHD in infants, children and adults are available. CHD in adults is also immerging as another cardiovascular problem in our society. With advances in care of children and decline in preventable mortality, CHD is likely to assume increasing importance in near future. Hence, there is an urgent need to improve pediatric cardiac care infrastructure enabling early diagnosis, prompt referral and subsequently adequate care for the children with significant CHD. The encouraging results of treatment for most forms of CHD from developed countries should prompt more clinicians to take up the challenge of managing these complex problems and also the Government to establish national policy for management of congenital heart.