It has been estimated that approximately 2% of pregnant women have heart disease. This number is rising due to an increased number of women with congenital heart conditions who survive to child bearing age, as well as an overall increased prevalence of advanced maternal age with a higher incidence of comorbidities including obesity, hypertension and diabetes. Maternal mortality is unacceptably high in developing and developed countries alike. In the United States, for example, mortality has been persistently rising, and cardiovascular disease remains the leading cause of maternal morbidity and mortality, having significant effect on fetal outcomes as well. In many cases, these adverse outcomes are potentially preventable. The management of heart disease in pregnancy is challenging, and successful outcomes require interdisciplinary expertise in multiple areas including, but not limited to, cardiology, maternal fetal medicine, anesthesia, cardiac surgery, and neonatology. There is, therefore, an increasing need for physicians with expertise in management of this challenging patient population. Such expertise requires experience that is difficult to develop because of the heterogeneity of cardiac abnormalities seen in pregnant women and the small number of patients with each specific condition seen by an individual clinician.