Late complications, especially walled-off necrosis (WON), are frequently encountered in patients with acute pancreatitis. In recent years, favorable treatment outcomes have been reported with EUS-guided trans gastrointestinal drainage and endoscopic necrosectomy. However, issues remain to be addressed, such as the timing and technique of drainage intervention, the appropriateness of percutaneous and surgical treatment, prevention of procedural complications, and adjuvant therapy. Furthermore, several issues remain to be discussed regarding the diagnosis and management of the associated disconnected pancreatic duct syndrome. At this symposium, the moderators aim to discuss the role of endoscopy in managing various problems that arise after acute pancreatitis and to share future perspectives with all participants.