<p>Congenital heart defects (CHD) have a significant effect on long-term physical development, with the severity of the disease playing a key role in growth challenges. While earlier studies have pointed out the importance of surgical treatments, nutritional support, and socioeconomic factors in influencing growth outcomes, there's still a need for deeper exploration to fine-tune these insights. By comparing various surgical approaches—like early versus late repairs and single-stage versus multi-stage procedures—we could better understand their unique impacts on growth. Moreover, taking a closer look at nutritional strategies, such as high-calorie formulas and enteral feeding, might shed light on how to alleviate growth issues. Socioeconomic differences also play a part in growth setbacks, but by adjusting for SES-related factors in our statistical analyses, we can better gauge their true effects. Tackling these issues through focused research could lead to improved personalized growth monitoring and intervention plans for CHD patients. This correspondence builds on these ideas and highlights the importance of future research to investigate the modifiable factors that affect growth outcomes.</p>