This is a very exciting live session happening for only the second time at ESPGHAN. A very interactive audience and panel are expected to be treated to a number of advanced therapeutic cases from Rome and Sheffield - likely to include POEM, OTSC clips, PEGJ one-stop placement and single stage PEG - and maybe others depending on available cases and time. An opportunity to see the experts demonstrating new techniques and to be able to ask questions during the procedures in real time. State of the art endoscopy facilities which will allow close-ups of these techniques facilitated by an excellent AV team on site in Vienna and in the endoscopy rooms in the hospitals. All patients are anonymised, will be presented in the lecture hall by the Chairs and families have consented specifically for their procedures to be filmed and shared. It should be fantastic!!