Sojak et al .[ 1] reported their experience with bidirectional cavopulmonary anastomosis (BCPA) and the hemi-mustard procedure for an anatomic correction of a congenitally corrected transposition of the great arteries (ccTGA), a strategy that somewhat simplifies the classic atrial switch procedure as already reported by several groups [2]. In this recent small series (eight patients), the authors made the choice to use this approach in selected patients with atrio-apical discordance to technically simplify the atrial switch component of the surgery. For the functionally borderline right ventricle, and/or tricuspid valve dysfunction, a one-anda-half-type repair was chosen to unload the RV. Of the patients who benefited from this modified atrial switch, six had an associated Rastelli procedure and two had an arterial switch procedure. The early mortality was 12.5% (one patient); two patients were treated for supraventricular tachycardia and three patients developed pleural effusion but no superior vena cava syndrome was notably observed. Only one patient needed re-operation for a conduit replacement at 6 years, from a mean follow-up of 4.5 years. All except one patient were in NYHA class I at the last follow-up. Systemic or pulmonary venous obstruction, sinus node dysfunction or atrial baffle leak were not observed. Successful early outcomes with anatomic repair in ccTGA were first reported by several centres in the mid-1990s. Nevertheless, 20 years later, it remains a challenging surgical procedure and the anatomic variability observed poses technical difficulties. The excellent results published by most of the experienced centres in this field [3, 4] probably do not reflect the real morbidity and mortality observed worldwide for the anatomic repair of ccTGA. Therefore, a strategy that reduces the surgical complexity of the repair, whilst maintaining good early and long-term outcomes, has to be considered as an important alternative, particularly for patients presenting for surgery at lower volume centres. This one-and-a-half repair approach definitely reduces the technical challenge of the operation, especially when atrio-apical discordance is present (difficult surgical access to the atrial chambers and narrowed free wall of the right atrium) even though flipping the heart over into the left chest by opening the left pleura usually allows one to perform a Senning. Less complex surgery is associated with a shorter cross-clamp time, something that can be helpful in preserving the ventricular function in this subset of patients. This one-and-a-half strategy, perhaps offers the possibility that anatomic repair, even in the most complex forms of ccTGA, could be achieved by less-experienced surgeons. Another theoretical advantage of the procedure is the avoidance of a superior vena cava stenosis, though this complication has become rare, with almost no reported instances of re-operation in the most recent series [3, 4]. For the pulmonary venous pathway, one might expect a decrease in the rate of obstruction with this technique, although it appeared that, for all except one case in this latter series, the right atriotomy needed to be enlarged with a xenopericardial patch, something that might compromise the long-term growth of the channel. Reducing atrial suture lines did not avoid supraventricular tachycardia, but no sinus node dysfunction (associated with higher sudden death risk) was observed, a major advantage compared with the Senning procedure. Finally, the real consequences of the volume unloading of the right ventricle are difficult to appreciate, due to the lack of data concerning the pre- and postoperative function and dimension of the RV and importance of the TR in this series. Furthermore, the potential benefit of the unloading is highly dependent on the patient’s age, and this benefit is likely to decrease as the patient ages. Nevertheless, a staged approach, with initial BCPA alone, is an option for complex ccTGA with LVOTO that avoids iterative systemic-pulmonary shunts. This strategy allows a complete repair to be delayed at a time when construction of the intraventricular LV to aorta baffle would otherwise be hazardous and shortens the surgery at the time of a subsequent full repair. BCPA might also allow re-operation to be delayed in cases where the RV to pulmonary artery conduit becomes stenotic. However, the benefits (easier surgical procedure, sinus node rhythm, unloading of the RV) are counterbalanced by the numerous adverse effects of this technique. BCPA precludes any superior venous access for endovascular electrophysiological procedures, including pacing. Complete heart block is a frequent complication after the closure of the ventricular septal defect in ccTGA or during the natural history