difference in mortality in these children. Malnutrition has been found to be associated with higher mortality after surgery in CHD even in developed nations [5]. It has been seen that most children with CHD have normal weight at birth in developed countries but start falling off their trajectory in initial few months due to disproportionate needs. Marino et al. have shown that an appropriate nutrition plan helps to reduce the prevalence of malnutrition in children waiting for surgery [6].Early diagnosis and treatment are necessary for a good outcome. A strong programme for early detection of CHD and appropriate referral is required at the community level. Further, pediatric cardiology and cardiac surgery centers should be established and strengthened at state level. Focus on treatable CHD and financial support would help in improving outcomes in CHD.