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, while highlighting the significance of selecting experienced hospitals and specialists to achieve the best possible outcomes.