The emergence and refinement of flexible endoscopes during the second half of the twentieth century has facilitated flexible bronchoscopy’s rise as the standard for evaluation of and often intervention in the tracheobronchial tree. Many of these procedures require only topical anesthesia and may be conducted in office settings without sedation. The relocation of procedures previously reserved for the operating room or endoscopy suite confers cost savings, improves provider flexibility, and maintains patient safety while increasing satisfaction and limiting convalescence.