. . . the replacement of grossly deformed infant hearts may be challenging and exciting, the procedure and the maintenance of a normal life thereafter . . . are such formidable calls on the resources in any country that their place in the responsible delivery of health care must be very seriously questioned. Surgeons, physicians, and parents should learn to accept that biology can go awry and that technical feats may not right it again; in the context of malformed hearts incompatible with prolonged survival, many parents are young enough to try again.