Conventional approach to congenital cardiac surgeries has its own fall backs such as increase in recovery time, length of hospital stay, pain and less cost effectiveness.Hence newer minimally invasive approaches have come into practice.Initially most of these newer approaches were done in adults when compared to pediatric patients.But advances in cannula design and instrumentation have made these techniques feasible in pediatric patients too.Some of these approaches are, mini-sternotomy, right mini-thoracotorny, subxiphoid incision, lower mini-stemostomy, inframammary approach, robotically assisted surgeries, image guided intracardiac surgery(IGIS), thoracoscopic approach for PDA ligation and hybrid procedures.