INDIVIDUALS WITH COMPLEX congenital heart disease now live well past childhood and even into adulthood . Each year in the United States, 40,000 newborns are affected by CHD . Up to 90% of these newborns will survive into adulthood, increasing the need for appropriate health services for this emerging population of adults with CHD. These individuals have unique medical, social, emotional, and functional needs as they move forward with their lives and their parents and health care practitioners face new challenges . Despite remarkable advancements, there remain considerable morbidities for adolescents with CHD that must be addressed as they anticipate adulthood. The main causes for hospital readmission in grown-ups with CHD are arrhythmias, heart failure, pulmonary vascular disease, endocarditis, and reoperation. A specialized plan of care that addresses the needs of teens transitioning into adulthood is necessary because of essential cardiac care beyond adolescence .