Therapeutic endoscopy in the new millennium will undoubtedly be more complex and challenging. New techniques may require simultaneous use of multiple endoscopic accessories. This would necessitate a device capable of stabilizing a flexible endoscope and freeing up the endoscopists' hands. Aim: To design a flexible endoscope stand that would secure an endoscope in any given position. Method: A rigid post and clamp device was fashioned and fitted onto a stabilizing Plexiglas plate which is placed under the patient. A screw-type clamp contains the endoscope control arm. Position of the endoscope control arm can be adjusted by raising and lowering the clamping mechanism. The clamping mechanism provides 360° rotation with the ability to fix the endoscope control arm (handle) in any desired position. The device was then assessed during complex therapeutic procedures using dual channel endoscopies with simultaneous use of two accessories. Results: The stand successfully freed up the endoscopists' hands for accessory manipulation and other activities requiring interruption of the endoscopic procedure. It provided this function while at the same time maintaining the position of the endoscope accurately and safely within the patient. The stand proved to be portable, durable, easy to disinfect and required only the weight of the patient for stability. Device function was limited when excess rotational torque of the endoscope insertion tube was needed. The cost of the stand materials was $270. Conclusion: 1) The flexible endoscope stand meets an evolving need to facilitate complex endoscopic procedures that require the simultaneous use of both hands of the endoscopist in order to control two accessories or the secondary use of a mini-scope. 2) The stand can also be employed during an interruption of a procedure to attend to patient needs. 3) Furthermore, the use of such a device may also have the added benefit of reducing the growing risk of repetitive use syndrome during lengthy procedures. (The Apollo Group: Sydney Chung, Peter Cotton, Christopher Gostout, Robert Hawes, Anthony Kalloo, Pankaj Pasricha, Thadeus Trus)