Treatment of 500 patients was used as a basis for the development of a complex stepwise programme of rehabilitation of patients with congenital heart diseases (CHD). It was noted that for a valuable social integration of people with CHD into the modern society it was necessary to perform not only the indicated, adequate and timely operations but also the inescapable measures for the improvement of their physical and psychophysiological adaptation. The following job in remote periods of observations of the patients operated upon must take into account its conformity to functional possibilities of energy expenditure for the chosen occupation and should be effected with the individually accessible (or indicated) level of the physical tension taken into consideration.