A comprehensive review of all the present therapeutic possibilities in Fallot's tetralogy is presented: A) From the cardiological viewpoint: Pharmacological and Interventional procedures (Baloon dilatation, coil embolisation, pulmonary artery stenting and ablation procedures) are discussed. B) From the surgical viewpoint: Palliative and intracardiac corrective procedures are reviewed. Indications for surgery are evaluated, including primary versus two stage procedures. Postsurgical sequelae are described: both early and late and the need for reoperation. Finally, late post-op complications, such as arrhythmias and sudden death, are commented on among the long term follow-up.