There are two major forms of extracorporeal life support (ECLS) available to children as a bridge to transplant: extracorporeal membrane oxygenation (ECMO) and ventricular assist device (VAD). Cardiac rehabilitation programs structured around ECLS have shown improvements in survival rates and improved post-transplant recovery. This session will discuss the safety and feasibility of the following rehabilitation programs for: acute ICU rehabilitation program while on ECMO, standardized age-appropriate interventions after Berlin VAD placement in the CICU, and outpatient services while awaiting transplant after Heartware VAD implantation. These programs incorporate physical, occupational, and respiratory therapy services to support children and adolescents with heart failure requiring ECLS as a bridge to transplant. Collaborative care among these providers incorporates family-centered care through family engagement and education to maximize the child’s functional abilities prior to the transplant. Additionally, treatment interventions address age specific functional impairments, appropriate developmental handling and positioning, and facilitation of play skills. The presenter will outline the current evidence based practices and the framework utilized at their institution related to interdisciplinary communication, early mobilization, maximization of respiratory efficiency, and inpatient and outpatient cardiac rehabilitation with focus on functional progression.