This atlas aims to systematically provide a case-by-case discussion on selected interventional endoscopic ultrasonography (EUS) procedures and how to approach such procedures on different patients. The atlas offers illustrations of the interventional procedures and several cases of the procedures are included. Within each case, a standardized report is provided including a brief history, imaging findings, a detailed discussion on treatment options, considerations in the EUS intervention, how to perform the procedures and final outcomes. EUS-guided drainages of the bile duct, pancreatic duct, gallbladder and abscesses are summarized. Ablative procedures including celiac plexus, pancreatic cyst and radiofrequency ablations are also covered. Other procedures guided by EUS, including gastroenterostomy, injected therapy, iodine beads insertion and fiducial marker insertion and endovascular interventions are further demonstrated. Gastroenterologists and surgeons can benefit from this atlas on learning strategies and preparing for these procedures.