The authors report the case of a 49-year-old woman with transposition of the great arteries and an unusual surgical history. At the time she was born, most patients with this condition did not survive into adulthood. This patient was palliated with the Baffes procedure and subsequently with the modified Mustard operation. Both operations were performed by their inventors and have allowed her to live a normal life for almost half a century. This unusual case is illustrated with a series of echocardiographic and cardiac computed tomographic images.