Tetralogy of Fallot is a complex congenital heart disease. In recent years, the success rate of surgery in Fu Wai Hospital has reached 98%. Pediatric cardiac surgery in Beijing Fu Wai Hospital Flower Middle East but large surgical incisions and trauma have been a problem for this type of surgery. Previous attempts to perform radical surgery with a right-sided incision have been made, but the limitations are great. The main limitations are 1, because of the inconvenience of exposure, the operation of pulmonary arterioplasty is not easy, so the incidence of transannular patch is high, 2, if intraoperative exploration, found that one or both sides of the pulmonary arteries have dysplasia, need to do pulmonary arterioplasty, the operation is significantly more difficult, once the postoperative bleeding, it is very difficult to deal with, basically compression to stop bleeding. This can easily result in recompression of the formed pulmonary artery after surgery. 3, Because of the need to reveal the left side of the heart structure, the right side incision has to be made in front, which is actually a right anterior external incision. This has a great impact on the future development of the girl’s breast, and potentially has a great psychological impact as well. What girl wants to have a scar on her breast? In the last year, I have tried a small median incision for quadruple radical surgery, which overcomes the above-mentioned drawbacks and allows for rapid enlargement without affecting the surgical outcome if an unexpected situation occurs during surgery or if other circumstances arise that require enlargement of the incision. Of course, so far, there has not been a single case where the incision needed to be enlarged. In conclusion, this incision can achieve very good results when doing the radical treatment of tetralogy of Fallot. Post a few pictures for your reference Article by Flower Middle East