Explore advanced techniques for maximizing ERCP cannulation efficiency and minimizing trauma in this informative lecture by Dr. Michael L. Kochman from the University of Pennsylvania. Delivered at the 6th Annual UCLA-Mellinkoff Gastroenterology and Hepatology Symposium, this 22-minute presentation covers crucial aspects of the procedure, including optimal scope positioning, tip control, access planning, and the use of various tools such as catheters, sphincterotomes, and guidewires. Gain insights into interpreting angiograms, recognizing important clues, and understanding potential complications to improve your ERCP cannulation success rates. This talk is an essential resource for gastroenterologists and endoscopists looking to enhance their skills in this critical procedure.