Johns Hopkins cardiologist Ari Cedars discusses heart failure and transplant referrals, which was the topic of his presentation during the Eighth World Congress of Pediatric Cardiology and Cardiac Surgery. The presentation addressed data regarding timing and referral for transplants. The presentation also covered the most common long-term consequence of congenital heart disease: heart failure, which presents treatment challenges. This information is important for those who treat the congenital heart disease population.