Since 1988, the first salivary endoscopy, sialendoscopy become a routine examination for salivary pathology. At the beginning, this was created just for remove stone inside salivary excretory ducts under local anesthesia avoid open surgery. Now, we are in front a multitude indications such as lithiasis, adults chronic infections, juvenile chronic parotitis, Sjogren's syndrome, iodine thyroid treatment (I131), IgG4 disease, stenosis, duct anomaly... Majority of this endoscopy are made under general anesthesia and not under local anesthesia. On this jungle of indications which are really good for patients without any risk and a real success treatment and not a placebo? Doing sialendoscopy for every salivary pathology is certainly not right way because this is not a universal remedy.