 The Pediatric Cardiac Society of India, PCSI, has developed guidelines for physical activity in children with heart disease. The guidelines aim to provide general recommendations for physical activity in children with operated and unoperated heart diseases, while also recognizing the need for individualized plans, serial assessments, and comprehensive checkups in special situations. This article was authored by Sajal Suresh Shah, Swetha Mohanti, Tanuja Karande, and others.