Children with congenital or acquired heart conditions require nuanced and evolving care. This session at WCC 2026 will explore podiatric heart failure, arrhythmias, Kawasaki disease, and surgical advancements in congenital heart defect repair. Focus will also be given to long-term follow-up, neurodevelopmental outcomes, and transitioning podiatric patients to adult cardiology services. Multidisciplinary care and family-centered approaches will be emphasized as key strategies for improving podiatric cardiac health.