Flexible endoscopes are among the most complex and indispensable medical devices used in healthcare. And yet, despite mounting evidence identifying cross contamination opportunities during endoscope processing, many sterile processing and endoscopy departments dedicate little space to the proper cleaning, rinsing, and disinfection or sterilization of these lumened scopes. At the same time, regulatory and guidance organizations are taking a hard look at the details of this process and are updating best-practice recommendations. This is likely to lead to changes in processes, equipment and workflow space to enable compliant flexible endoscope processing.