The Aga Khan University Hospital is the top and best Hospital in Pakistan and provides best patient care services. It has all services under one roof and the hospital has the best heart doctors : cardiologists and pulmonologists. The patient Arif Ullah, born in Pakistan but brought up in Swat was weak and unwell since birth, doctors diagnosed that this weakness was caused by a hole in his heart. Arif was from a poor family and due to the lack of funds available, his parents could not afford treatment. Hence, he had to ignore and face the symptoms. When Arif was 14 or 15, he would get exhausted while walking to school. he realized that he was useless in this condition and that he would never be able to support his families or friends. Since he belonged to a poor background, he never found it suitable for sitting at home and do nothing. Arif came to Aga Khan University Hospital to seek help, I was checked for one night. Dr. Muneer Amanuallah and his team visited him and asked for