This month’s On the Spot topic is endoscopy, just in time for the annual Society of American Gastrointestinal and Endoscopic Surgeons meeting! We debate transoral incisionless fundoplication, the trajectory of telerobotic endoscopic technologies, requirements for performing complex resection (endoscopic submucosal dissection and submucosal tunneling endoscopic resection) and third-space procedures (peroral endoscopic myotomy [POEM], peroral pyloromyotomy and Z-POEM [POEM for