The SpyGlass Direct Visualization System is a single-operator cholangioscope that is used by experienced, skilled physicians to either remove difficult bile duct and/or pancreatic duct stones or evaluate indeterminate strictures within the bile ducts or pancreatic duct. Cholangioscopy is an advanced endoscopic technique whereby a small-caliber endoscope is advanced through a larger endoscope into the bile duct or pancreatic duct for direct endoscopic visualization of the anatomy and potential pathology. Historically, this procedure was performed with a mother-daughter scope system, requiring two skilled endoscopists. However, several limitations to this platform led to the development of a more user-friendly cholangioscope, SpyGlass. Currently, Springhill Medical Center is the only hospital in the Mobile area to have this technology available for patient care.