At Dexeus University Hospital, TOF Repair is performed using specialised pediatric cardiac surgical techniques and comprehensive preoperative cardiac assessment. Established in 1973, this JCI accredited hospital in Barcelona, Spain has 200 beds and offers advanced congenital heart surgery and pediatric intensive-care services.

TOF Repair may be considered for infants and children diagnosed with Tetralogy of Fallot, particularly when significant cyanosis, pulmonary outflow obstruction, or other anatomical abnormalities affect circulation. During complete repair, the surgeon closes the ventricular septal defect and widens or reconstructs the pathway between the right ventricle and pulmonary arteries as required. Echocardiography, cardiac imaging, and other investigations help define the anatomy and guide surgical planning.