A team approach is mandatory to carry out a successful ERCP, the endoscopist understanding the complications of such complex procedure has a bag of solutions in difficult situations should coordinate and control the team; at least two nurses are needed to assist, a radiologist and a practitioner anthologist, all should understand such innovative ERCP skills would help through the overall ERCP success, here we will present to useful tricks should be very helpful in both diagnostic and therapeutic ERCP.; Alenezi (Kuwait) and Durazo (USA) techniques. Nevertheless, ERCP innovation of skills lead to easy success with fewer complications.