Gastroenterology is a field that is rapidly evolving and its success hinges on its technological evolution. Endoscopy units around the world must attempt to stay current by introducing new techniques and endoscopic programs. In order to successfully launch a new endoscopy program, one must consider individual physician and staff training, engaging strategic partners, building out long-term business plans, and showing flexibility in addressing unforeseen circumstances such as the COVID-19 pandemic. Finally, there are specific issues that women face when advocating for their ideas to be considered in the endoscopy unit, gastroenterology practice, or medical center. Issues related to implicit bias can be overcome through preparedness, utilizing connections in your center and beyond, and accessing resources. Ultimately, having a well thought out strategy that incorporates the finances, partnerships and overall benefit to your practice can allow successful implementation of any new endoscopic program into your unit.