Transposition of the great arteries associated with ventricular septal defect and left ventricular outflow tract obstruction remains a serious surgical challenge. A new surgical technique that utilized aortic root mobilization and transfer combined with reconstruction of the right and left ventricular outflow tracts was applied successfully in two children. This technique provides an additional type of arterial switch operation for complex transposition and is an alternative to (1) the conventional combination of Mustard (Senning) procedure with closure of the ventricular septal defect and relief of left ventricular outflow tract obstruction and (2) the Rastelli operation.