<s>[INST] My daughter has a hole in the heart which is between two walls of the heart. She's 1yr 9 months old and was informed that she needs a open heart surgery to close the hole since the hole is big. I was wondering if the procedure be done without surgery. Please advice me accordingly. [/INST] Hi,There are two ways of closure, one is open surgery and through device closure. So if hole is big then Surgery is needed. For second opinion, you should upload the reports mentioning the size of the hole.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sagar Makode </s>