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Introduction Endoscopic Retrograde Cholangio-Pancreatography (ERCP) applications are rapidly evolving toward increasingly complex therapeutic approaches alongside with technological innovations. There are no globally agreed indications on the ERCP training path, which often requires too much time and does not always guarantee adequate skills.Areas covered Frequency and difficulty of execution are the main objective criteria on which to draw up a training program novel trainees should approach ERCP first through the simplest and most fre