Hospital Ruber International provides specialised TOF Repair with a focus on precise anatomical correction, advanced pediatric cardiac surgery, and individualized postoperative and long-term follow-up care. Established in 1982, the ISO accredited hospital is located in Madrid, Spain and operates 345 beds, with modern pediatric cardiac, intensive-care, imaging, and rehabilitation infrastructure.

TOF Repair can restore more effective circulation by correcting the ventricular septal defect and improving blood flow from the right ventricle to the lungs. Treatment planning considers the severity of pulmonary obstruction, ventricular anatomy, pulmonary artery development, coronary artery anatomy, oxygen saturation, and the child's overall health. A detailed preoperative assessment using echocardiography and, when necessary, advanced cardiac imaging helps the pediatric cardiac team select the most appropriate repair strategy and plan postoperative monitoring.