Advancements in pediatric cardiopulmonary surgeries have increased survival rates of infants nationally (Yin, 2015). Following cardiac surgeries involving median sternotomy incisions, infants may be placed on sternal precautions. These precautions often include restrictions for prone positioning in infants and children status post sternotomy. There is limited empirical evidence to support or refute these restrictions (Uher, 2016). Prone positioning has been found to benefit infants with acute respiratory distress syndrome after complex cardiac surgeries (Balachandran, 2012). The prone position has many known gross motor development benefits that carryover into other developmental positions and postures (Byrne, 2013). In fact, performance in prone has predicted onset of walking in children with congenital heart disease (Dagenais, 2018). This educational session will provide: 1. an overview of sternal surgery, follow-up precautions and implications, 2. a review of survey results to identify the current state of practice, and 3. a description of three case reports on the decision-making and implementation of prone positioning status post sternal surgery.