“…[2] In developing countries, where access to medical care may be hampered by poverty, poor transportation, and communication systems, the implementation of single-stage repair has made it easier to provide quality care to children with HD. [6,7,29] A survey of the BAPS in 1998 revealed that 41% of the pull through procedures performed at that time were through primary approach. [30] A recent survey of BAPS members by Bradnock and Walker revealed that 86% of 36 respondents now performed primary pull through in a well-child.…”