Orginal Research | 2025 | Volume 1 | Issue 1 | Page 1-5 Dr. Shiv Kumar Arun, Assistant Professor, Department of Surgery, GMCH-Badaui Abstract This study examines the surgical management of complex congenital heart defects (CHDs) at a tertiary care center in Eastern India, a region often characterized by resource limitations. Despite significant global advancements in pediatric cardiac surgery, many developing regions face unique challenges including delayed diagnosis, late pr