Abstract:In recent years, endoscopic ultrasound-guided biliary drainage (EUS-BD) has been widely implemented in China. The normalization and standardization of this procedure has become an urgent issue. With the improvement of EUS-BD technology and accessories, the understanding of its clinical advantages and complications is also updating. Based on the current guidelines home and abroad, this consensus summarized and updated the related research progress in recent years and presented 12 clinical concerns and 40 recommendations in the form of questions and answers regarding indications and contradictions, techniques, accessory selection, complications, perioperative management, and learning and training for the guidance of standardized EUS-BD.