The European Society of Gastrointestinal Endoscopy and United European Gastroenterology present a short list of key performance measures for lower gastrointestinal endoscopy. We recommend that endoscopy services across Europe adopt the following seven key performance measures for lower gastrointestinal endoscopy for measurement and evaluation in daily practice at a center and endoscopist level:1Rate of adequate bowel preparation (minimum standard 90 %);2 Cecal intubation rate (minimum standard 90 %);3Adenoma detection rate (minimum standard 25 %);4Appropriate polypectomy technique (minimum standard 80 %);5Complication rate (minimum standard not set);6Patient experience (minimum standard not set);7Appropriate post-polypectomy surveillance recommendations (minimum standard not set). Other identified performance measures have been listed as less relevant based on an assessment of their importance, scientific acceptability, feasibility, usability, and comparison to competing measures.