Paediatric endoscopy represents a pivotal and sophisticated medical procedure designed specifically for the examination and diagnosis of gastrointestinal and respiratory disorders in infants, children, and adolescents. This specialized medical technique involves the use of a flexible endoscope—a slender, lighted tube equipped with a camera and various instruments—that is gently introduced into the body through natural openings or small incisions. With a primary focus on the delicate anatomy of Paediatric patients, Paediatric endoscopy serves as a minimally invasive diagnostic and therapeutic tool, enabling healthcare professionals to visualize and assess the interior of organs such as the esophagus, stomach, intestines, and airways. The procedure plays a crucial role in the identification and treatment of a diverse range of conditions, including but not limited to gastroesophageal reflux, inflammatory bowel diseases, congenital anomalies, gastrointestinal bleeding, and foreign body removal. Paediatric endoscopists, typically highly trained Paediatric gastroenterologists or Paediatric surgeons, employ advanced imaging technologies to navigate through the intricate anatomy of children, ensuring precision and safety throughout the examination. Moreover, the procedure often incorporates therapeutic interventions, such as the removal of polyps, tissue biopsies, or the dilation of narrowed passages, thereby offering both diagnostic insights and immediate solutions to various Paediatric gastrointestinal challenges. The utilization of state-of-the-art equipment and continuous advancements in endoscopic techniques underscore the commitment of healthcare professionals to provide the best possible care for their young patients. As a cornerstone in the realm of Paediatric medicine, Paediatric endoscopy not only facilitates early diagnosis and treatment but also contributes significantly to improving the overall health and well-being of children, fostering a future where innovative medical approaches continue to enhance the standard of Paediatric care.