BACKGROUND AND STUDY AIMS: Endoscopy video recordings are valuable data for training and deploying artificial intelligence (AI) models. However, collecting these data is challenging and time-consuming, demanding new workflows and robust data management strategies.

METHODS: Here, we outline the challenges associated with routinely recording endoscopy data in clinical practice and share experiences and solutions from three endoscopy centers in Germany and the United States.

RESULTS: Each center uses a recording setup tailored to specific needs of that endoscopy unit. Common challenges include integrating with the hospital's electronic health records, automating video recording, and addressing data privacy concerns. In all cases, having dedicated research staff to manage daily operations has proven essential for successful implementation.

CONCLUSIONS: By describing successful strategies, we aim to inspire gastroenterology divisions worldwide to adapt routine video recording for endoscopy procedures, thereby increasing the volume and diversity of datasets necessary for developing clinically impactful AI applications.