**1. Introduction**

Unlike in developed countries, the delivery of cardiovascular services to children born with congenital heart defects in Nigeria is inadequate. There are problems at both pediatric and adult ages with high morbidity and mortality on account of inadequate surgical care. The country initially lacked both manpower and infrastructure so that many souls of congenital pediatric patients departed their bodies with their pathologies undiagnosed and untreated. Pioneers of cardiac surgery in Nigeria were not decisive of separate pediatric cardiac program while they engaged the government. Presently, with many trained personnel, there is a need for structured pediatric cardiac team with requisite infrastructure to work. This will bring the desired success.
