Since most extrahepatic cholangiocarcinoma (EHCC) is found at an advanced stage，the prognosis of patients with EHCC is poor. In the past, palliative drainage was mostly performed by biliary stent implantation, but stenting is no tumor specific treatment,it can only relieve the symptoms of jaundice, not improve the prognosis of patients. Photodynamic therapy (PDT) and radiofrequency ablation (RFA) are local treatments for cholangiocarcinoma that have emerged in recent years, and many studies have confirmed their safety and effectiveness in the treatment of EHCC. This article reviews the recent studies on endoscopic treatment of extrahepatic cholangiocarcinoma.