Amongst 248 urologists who spend a substantial amount of their operative work performing endoscopic procedures and who were surveyed with reference to symptoms of cervical spondylosis, 118 admitted that they were, or had been, troubled by such symptoms (47.6%). A control group of 113 General Practitioners matched for age at qualification had no significantly fewer symptoms (43.4%). Similar numbers in each group had a history of neck injury, often of a sporting nature, and also had similar incidences of symptoms including pain down the arm. Significantly more urologists have current severe symptoms and more frequent attacks of trouble. Urologists offered a variety of advice on how to ameliorate these symptoms, which included attention to posture, the need for self-controlled motorised endoscopic tables, an endoscopic stool with wheels and the limitation of the number of transurethral prostatectomies per operating list.