Small actions can make a big difference on climate change. During this townhall on sustainable/green GI practice, members of ASGE’s Sustainable Endoscopy Task Force and Green Endoscopy Sites Pilot Program as well as participants engaged or interested in a greener practice shared initiatives they have undertaken, of various scales, that have reduced their carbon footprint without compromising quality. This session was moderated by Heiko Pohl, MD FASGE, and Sonali Palchaudhuri, MD MHCI.This is a recording of a meeting that took place on October 24, 2024.