**Abstract**

Unlike in the Western world, the delivery of cardiovascular services to children and adults born with congenital heart defects (CHDs) in Nigeria is grossly inadequate. There are problems all through the ages of these unfortunate patients. Accurate statistical data of CHD in Nigeria is lacking, but it is comparable to 8 per 1000 live births as seen in other countries. The burden is presently being ameliorated by medical tourisms and foreign cardiac surgery missions, but such services are still inadequate. There is a need for the government to share resources between this noncommunicable (CHD) and communicable diseases. When this is done with assistance of international partners and humanitarian organizations, a sustainable pediatric cardiac surgery program will be established that will definitely enhance the care of these patients at childhood, adolescent, and adult stages of their lives.

**Keywords:** pediatric, surgery, program, congenital, sustainable, medical tourism
