Purpose of Review <p>This manuscript provides a comprehensive review of the risks of radiation exposure in endourology and highlights strategies to ensure the health and safety of endourologists during pregnancy.</p> Recent Findings <p>Recent studies have measured radiation exposure to endourologists during fluoroscopic procedures, underscoring the role of protective measures such as lead shielding, low-dose fluoroscopy, and pulsed imaging to significantly reduce radiation doses. Adherence to these strategies enables endourologists to safely perform fluoroscopic procedures throughout pregnancy while staying within recommended exposure limits.</p> Summary <p>This review outlines the latest research on radiation exposure in endourology with a focus on exposure risks during pregnancy. Major findings include insights into potential stochastic and dose-dependent effects of radiation exposure on pregnant endourologists and their fetuses as well as effective dose-reduction strategies to mitigate these risks. Further research is needed to improve individual understanding of exposure risks and establish standardized institutional and policy frameworks for radiation safety during pregnancy.</p>