In the realm of healthcare, particularly in the management of medical imaging equipment, unprecedented challenges and opportunities are encountered. This is especially pronounced in the niche domain of gastrointestinal endoscopy, where innovative management strategies are pivotal in the face of evolving circumstances. With the rapid iteration of technology, the escalating scarcity of medical resources, alongside the rising costs of management and maintenance, coupled with the ongoing flux of regulations and standards, these factors collectively constitute the intricate landscape confronting current management of medical imaging equipment. Addressing the pace of technological advancement, employing proactive technological foresight and flexible updating strategies are paramount. This entails not only technological upgrades of the equipment itself but also continuous training and education for operators to ensure their alignment with technological advancements. Given the scarcity of medical resources, enhancing the utilization and efficiency of existing equipment becomes imperative. This may involve optimizing equipment allocation and scheduling, reducing idle time, while also exploring the application of emerging technologies such as telemedicine to expand service coverage. This article will delve into how, amidst new circumstances, effective management strategies can optimize the utilization and maintenance of gastrointestinal endoscopy to cope with challenges such as the rapid pace of technological evolution, scarcity of medical resources, increasing management and maintenance costs, as well as changes in regulations and standards.