Endoscopy is a cornerstone of gastrointestinal healthcare, yet the wellbeing of endoscopists remains largely unexamined, particularly in the Middle East. Burnout, physical strain, and psychological distress after procedure-related complications can have significant implications for clinicians and patient safety(1,2). This study the first of its kind in Saudi Arabia aimed to determine the prevalence of burnout, musculoskeletal injuries, and emotional consequences following major endoscopic complications among practicing endoscopists. The objective was to quantify the occupational burden, identify contributing factors, and highlight gaps in institutional support systems.

A national cross-sectional survey was conducted from October 2025 to November 2025 among licensed endoscopists across Saudi Arabia. The questionnaire captured demographic information, institutional practice characteristics, workload, burnout indicators, musculoskeletal symptoms, experiences with endoscopic complications, emotional impact, safety culture, and coping strategies. Data were analysed using descriptive statistical methods in Microsoft Excel.

A total of 76 endoscopists were included. Most participants were male and between 30–59 years of age, with consultants forming the largest professional group. Endoscopists practiced across all regions of the Kingdom, with Ministry of Health hospitals representing the most common workplace, followed by private and military institutions. High procedural burden was evident, with the majority performing close to 20 procedures weekly and working 41 hours or more. Musculoskeletal discomfort lasting over 24 hours was reported by 65% of respondents, affecting predominantly the back, shoulders, and neck. Despite high symptom burden, only a small proportion sought medical evaluation or required absence from work. Burnout indicators were common, with 29% often feeling tired and 17% reporting emotional exhaustion or feelings of burnout. A significant procedural complication within the previous year was reported by 65% of participants, most commonly bleeding or perforation. Emotional effects included intrusive thoughts, sleep disturbance, and transient loss of confidence. Over one-third avoided similar procedures after the complication. Formal debriefing or institutional support was inconsistently available, with nearly 60% reporting no structured response following adverse events. A majority strongly supported the development of a national peer-support program for endoscopists.

Endoscopists in Saudi Arabia face substantial physical, emotional, and psychological demands associated with high workloads, musculoskeletal strain, and significant complication-related distress. The lack of ergonomic training and limited debriefing structures underscores important gaps in institutional support. As the first study of its kind in the region, these findings highlight the urgent need for national ergonomic standards, structured debriefing pathways, peer-support systems, and comprehensive wellbeing strategies to safeguard clinician health and ensure sustainable endoscopy services.