Pacemakers have been implanted in Pakistan Since 1976. With technological advancements, new high energy devices have been introduced in the treatment of heart rhythm disorders such as implantable cardioverter defibrillators (ICD) and cardiac resynchronization therapy (CRT). While these devices have enabled cardiac electrophysiologists to treat many rhythm disorders and improve the quality of life of patients with advanced heart failure, the leads associated with them have created some problems when they stay in the body for a long time. Till now there was no hospital in Pakistan with capability of laser lead extraction. Armed forces Institute of Cardiology & National Institute of Heart Diseases has once again taken the lead in introduction of laser lead extraction which will now enable patients to have their leads removed without any major operation. Because of the sophisticated gadgetry involved, the treatment initially is expensive but with the passage of time its cost would come down and we shall be able to help a lot of patients.