This week we review a recent report from the team at Amrita Institute in Cocchin, India about their use of extended reality and virtual reality as well as heart model printing to aid in planning for complex intracardiac baffles for the treatment of complex congenital heart defects. What was the process used to provide actionable advice in the operating room during surgery? How has the team in southern India created a workflow that can accurately predict this complex anatomy and the patches needed to successfully septate complex hearts? We speak with the director of the 3D imaging group at Amrita, Professor Mahesh Kappanayil about this remarkable achievement of imaging in collaboration with surgery. <br /><br /><ul><li>DOI: <a href="https://doi.org/10.1016/j.jtcvs.2026.03.616" target="_blank" rel="noreferrer noopener">10.1016/j.jtcvs.2026.03.616</a></li></ul>