Abstract: A hand-held endoscopic multi-tool includes a dextrous hollow tube, a cap, a main body, a tool body, an endoscope and a tool. The dextrous hollow tube has a generally rigid portion at the proximal end and a bendable portion at the distal end. The cap is operably attached to the distal end of the dextrous hollow tube and the main body to the proximal end. The tool body is moveably connected to the main body and moveable in a linear direction relative to the main body and co-axial to the tube. The endoscope is housed within the tube and operably attached to the cap. The tool is housed within the tube and constrained by the cap such that the tool is operably coupled to the movement of the tube and the tool is operably attached to the tool body whereby movement of the tool body moves the tool.