Ionizing radiation by the means of fluoroscopic and angiographic guidance are increasingly being utilized for innovating and often more effective treatments and interventions. These procedures expose the patient and operators to ionizing radiation. These radiation exposures can commonly be  significantly  higher than any diagnostic examination. Ever more, many physicians choose careers that involve exposure to ionizing radiation on a daily basis. May operators can be exposed to cumulative radiations that were uncommon a few decades ago. Therefore, fluoroscopy safety and dose reduction techniques are ever so important. This presentation brings forward the most recent published guidelines, recommendation, published radiation benchmarks, basics of dosimetry and tip on reducing radiation exposure to the patient and the operators