The POEM procedure has transformed the management of oesophageal motility disorders, especially achalasia, by providing a less invasive option compared to traditional surgery. The procedure has shown a high success rate and positive results in managing the conditions; however, it is important to recognize that, like any medical procedure, this procedure also involves certain risks and possible complications. Being aware of these risks enables patients to make well-informed choices and take proactive measures to facilitate a smooth recovery. This blog offers a detailed examination of the risks and complications related to POEM, along with considerations for patients.