Children with congenital heart disease commonly have delay in growth and development. This paper is based on hospital based cross–sectional study to assess and compare the growth and development with congenital heart disease (n=20) and compare with normal children(n=20). Growth was assessed as per the WHO standard growth trajectories by measuring the height, weight, midarm circumference and head circumference. The neurodevelopment assessed by Denver Development Screening Test II. Preschool children with CHD were significantly underweight (p= 0.047) and stunted (p= 0.01). The weight for height was also affected and statistically significant(p=0.026) in children with CHD. On assessment of development the gross motor domain (p=0.03) and language domain(p=0.03) were delayed and it was statistically significant. The study of the growth and development differences between children with CHD and normal children may help in aiding early interventional strategies to improve the overall outcome and help to educate the caregivers