The Society of Thoracic Surgeons (STS) Congenital Heart Surgery Database continues to be one of the most comprehensive clinical outcomes registries capturing almost all pediatric cardiothoracic surgical operations undertaken in the United States. The latest analysis of aggregate outcomes was performed following the thirty-third data harvest and included congenital and pediatric cardiac operations performed between July 1, 2017, and June 30, 2021. This article summarizes these contemporary outcomes and provides a context for the interpretation of these outcomes. In addition, this article describes on-going efforts to improve data collection and augment analytical approaches. Lastly, research activities undertaken in the last year utilizing data from the database are also summarized.