Introduction to endoscopic ultrasound via bronchoscope (EUS-B) with key references on how EUS-B adds value to practice of combined EBUS EUS-B in lung cancer and diagnosis of mediastinal lymphadenopathy. After discussion of pros of EUS-B practice, the potential risk associated with EUS-B procedures will be illustrated with evidence from systematic review and cohort studies. Pragmatic tenets for practise of combined EBUS EUS-B with illustration of technical skills required will be conveyed through case-based videos. Pitfalls related to deviation from practice tenets, limitation of EUS-B fine needle aspirate (FNA) based techniques, and related complications will be illustrated by cases. Navigating pitfalls with patient selection and recent developments will be discussed. Proposed training models and pragmatic training programs with learning curves will serve as closing.