The field of biliary endoscopy continues to expand. The place of endoscopic sphincterotomy in the treatment of ductal stones is firmly established, and the problem of large stones has been solved. The advent of laparoscopic cholecystectomy has implied a more active role for the biliary endoscopist in managing ductal stones and has overshadowed interest in endoscopic access to the gallbladder. Stenting remains the mainstay of palliative treatment of malignant jaundice and is also useful in benign strictures and biliary fistulae.