<h1>Emergency neonatal balloon aortic valvotomy raises issues of consent, documentation, standards of care, sponsor transparency and privacy.</h1> A neonatal patient presented in critical condition with severe aortic stenosis and left ventricular dysfunction and underwent an emergency balloon aortic valvotomy by a pediatric cardiac team at a regional hospital, resulting in restored cardiac function. Legal considerations include emergency consent and documentation for life-saving intervention on a minor, compliance with standards of care and multidisciplinary backup, the role and transparency of charitable sponsorship for treatment costs, and potential publicity/privacy issues arising from a press release; the release also disclaims editorial responsibility, which may affect attribution and liability.