Endoscopic surgery has evolved tremendously in the past decades, especially the use of arthroscopy in orthopedics. The knee is the joint most commonly treated, followed by the shoulder. The arthroscopy of the elbow has developed slower than in the other joints mostly due to the close anatomic relationship to vital structures, that is, the risk of injuring the main blood vessels and nerves, as there are reports of as much as 10% of complications. The purpose of our study is to summarize our experience of elbow arthroscopy in Kaplan Medical Center in the past years, and to show that sound technique, precision with details and expert use of this method may lead the elbow arthroscopy to be an excellent tool in the solution and treatment of many problems in clinical practice. We present 18 subjects with the age ranging from 17 to 68. Our results were good in most of the cases. We had no major complications in long term follow up. Our conclusion is that meticulous use of elbow arthroscopy has few complications and with good results, and may avoid open surgery.