ABSTRACTIntroduction:High‐quality procedure reports are a cornerstone of high‐quality pediatric endoscopy as they ensure the clear communication of procedural events and outcomes, guide patient care and facilitate continuous quality improvement. The aim of this document is to outline standardized reporting elements that achieved international consensus as requirements for high‐quality pediatric endoscopy procedure reports.Methods:With support from the North American and European Societies of Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN and ESPGHAN), an international working group of the Pediatric Endoscopy Quality Improvement Network (PEnQuIN) used Delphi methodology to identify key elements that should be found in all pediatric endoscopy reports. Item reduction was attained through iterative rounds of anonymized online voting using a 6‐point scale. Responses were analyzed after each round and items were excluded from subsequent rounds if ⩽50% of panelists rated them as 5 (“agree moderately”) or 6 (“agree strongly”). Reporting elements that ≥70% of panelists rated as “agree moderately” or “agree strongly” were considered to have achieved consensus.Results:Twenty‐six PEnQuIN group members from 25 centers internationally rated 63 potential reporting elements that were generated from a systematic literature review and the Delphi panelists. The response rates were 100% for all three survey rounds. Thirty reporting elements reached consensus as essential for inclusion within a pediatric endoscopy report.Discussion:It is recommended that the PEnQuIN Reporting Elements for pediatric endoscopy be universally employed across all endoscopists, procedures and facilities as a foundational means of ensuring high‐quality endoscopy services, while facilitating quality improvement activities in pediatric endoscopy.