This chapter explores the transformative journey of capsule endoscopy (CE) from capsule ingestion to clinical decision-making, emphasising its increasing role as an alternative to traditional colonoscopy. The integration of telemedicine, Internet of Things (IoT), and artificial intelligence (AI) in CE delivery is examined, alongside the advancements in hardware and software technologies. Key themes include patient accessibility, remote diagnostics, AI-enabled video analysis, and eco-friendly diagnostic solutions. The chapter also highlights the challenges of adopting these innovations, including training standardisation, AI validation, and overcoming scepticism amongstprofessionals. With initiatives like the AICE project, CE delivery is poised to revolutionise diagnostic pathways and expand its applicability in selected patient populations.