Congenital heart disease occurs in 6 to 8 of 1,000 live births, with more than 90% of unknown etiology. The complex spectrum of more than a dozen congenital anomalies vary greatly in severity and prognosis. Some patients require immediate reconstructive surgery at birth, other patients benefit from monitoring and medical management, and still others require a series of palliative and definitive procedures. Greater numbers of patients with CHD are surviving later into life. The rehabilitation and management of these survivors is increasingly important.