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Game theory utilises human behaviour to address the dynamics involved in a decision and what the best payoff is depending on the decision of other players.<jats:italic>Aim<\/jats:italic>: By presenting these interactions as a strategic game, this paper aims to provide a descriptive analysis on the utility and effectiveness of game theory in optimising decision-making in congenital cardiac care.<jats:italic>Methodology<\/jats:italic>: The comprehensive literature was searched to identify papers on game theory, and its application within surgery.\u00a0<jats:italic>Results<\/jats:italic>: The analysis demonstrated that by utilising game theories, decision-making can be more aligned with patient-centric approaches, potentially improving clinical outcomes.<jats:italic>Conclusion<\/jats:italic>: Game theory is a useful tool for improving decision-making and may pave the way for more efficient and improved patient-centric 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