The number and features of pediatric endoscopy centersin Italy is unknown. The aim of this study is to assess thecurrent status of pediatric endoscopy in Italy. A survey-based study was designed using a web-based multi-item questionnaire. Centers performing pediatric endoscopy were invited to participate via an invitation e-mail. Twenty-eight centers submitted complete responses. Data from the survey revealed a large variability between centers in Italy. More resources are needed to improve standard of pediatric endoscopy in Italy.