The prevalence of moderate to severe postoperative pain in the pediatric population was high. The 
presence of pain adversely affected long-term health-related quality of life after pediatric cardiac 
surgery. Massage therapy has been tested in various populations and found to be remarkably effective 
in relieving pain. This treatment includes noninvasive techniques that are cheaper, easier, and have 
fewer side effects than drugs. Aim: The study was aimed to evaluate the effect of massage 
therapy on post-operative pain and narcotic administration for infants with congenital heart 
disease. Subjects and Methods: A quasi-experimental research. Subjects: It was employed on 
a purposive sample of 76 infants undergoing cardiothoracic surgery in the Cardiothoracic 
Intensive Care Unit and Cardiothoracic ward. Setting: Mansoura University Children's Hospital 
(MUCH), Mansoura, Egypt. Three tools were used: Infant's bio-sociodemographic characteristic 
and clinical data, physiological measurement and FLACC behavioral pain assessment scale. 
Results: There was a highly statistically significant difference between the mean pain scores 
and narcotic doses within the study and control group. Conclusion: The study concluded that, 
massage therapy positively reduces pain and narcotic doses in postoperative infants with 
congenital heart disease. Recommendations: Massage therapy training programs and seminars 
should be held periodically and regularly for pediatric nurses to increase awareness of the 
benefits of massage therapy for infants with congenital heart disease.