This video provides the clinical background, intraoperative technique, and postoperative result of a 16-month-old patient with Shone's complex (aortic valve, mitral valve, left ventricular, and aortic arch hypoplasia) and VSD who previously underwent a single ventricle pathway through the Glenn procedure stage, but then underwent a staged left ventricular recruitment operation to promote left ventricular growth for future consideration for biventricular conversion.