Navigating the high-risk convalescence following complex pediatric cardiac surgery—such as staged palliative reconstructions for hypoplastic left heart syndrome (Norwood, Glenn, Fontan procedures), arterial switch operations for transposition of the great arteries (TGA), total anomalous pulmonary venous return (TAPVR) repairs, or closure of large ventricular septal defects (VSD)—represents an exceptionally delicate aeromedical journey. Every year, hundreds…