A system for remote endoscope manipulation, the system comprising: an endoscope including a shaft having a tip and a handle having gears (70A, 70B) for moving the tip in an upward, downward, and side-to-side direction and having one or more buttons (70C, 70D, 70E) for operating an operational aspect of the endoscope including irrigation, suction, insufflation, power, a camera, a light; a control housing removably attached to the endoscope handle; one or more rotational manipulators (14A, 14B) on the housing configured to engage the gears (70A, 70B), and one or more button manipulators (14C, 14D, 14E) on the housing configured to engage the one or more buttons (70C, 70D, 70E) when the housing is attached to the endoscope handle; one or more rotational actuators (16A, 16B) drivingly coupled to the one or more rotational manipulators (14A, 14B) such that actuation of said one or more rotational actuators (16A, 16B) rotates the one or more rotational manipulators (14A, 14B) and rotation of the one or more rotational manipulators (14A, 14B) rotates the gears (70A, 70B), and one or more translational actuators (16C, 16D, 16E) drivingly coupled to the one or more button manipulators (14C, 14D, 14E) such that actuation of said one or more translational actuators (16C, 16D, 16E) translates the one or more button manipulators (14C, 14D, 14E) and translation of the one or more button manipulators (14C, 14D, 14E) translates the one or more buttons (70C, 70D, 70E), thereby operating an operational aspect of the endoscope; and a controller communicatively coupled to the housing and configured to communicate with and cause actuation of the one or more rotational actuators (16A, 16B) and the one or more translational actuators (16C, 16D, 16E) and thereby rotate the gears (70A, 70B) and operate an operational aspect of the endoscope, the controller including a foot pedal that allows an operator of the system to remotely rotate the gears (70A, 70B) and operate an operational aspect of the endoscope by foot. an endoscope including a shaft having a tip and a handle having gears (70A, 70B) for moving the tip in an upward, downward, and side-to-side direction and having one or more buttons (70C, 70D, 70E) for operating an operational aspect of the endoscope including irrigation, suction, insufflation, power, a camera, a light; a control housing removably attached to the endoscope handle; one or more rotational manipulators (14A, 14B) on the housing configured to engage the gears (70A, 70B), and one or more button manipulators (14C, 14D, 14E) on the housing configured to engage the one or more buttons (70C, 70D, 70E) when the housing is attached to the endoscope handle; one or more rotational actuators (16A, 16B) drivingly coupled to the one or more rotational manipulators (14A, 14B) such that actuation of said one or more rotational actuators (16A, 16B) rotates the one or more rotational manipulators (14A, 14B) and rotation of the one or more rotational manipulators (14A, 14B) rotates the gears (70A, 70B), and one or more translational actuators (16C, 16D, 16E) drivingly coupled to the one or more button manipulators (14C, 14D, 14E) such that actuation of said one or more translational actuators (16C, 16D, 16E) translates the one or more button manipulators (14C, 14D, 14E) and translation of the one or more button manipulators (14C, 14D, 14E) translates the one or more buttons (70C, 70D, 70E), thereby operating an operational aspect of the endoscope; and a controller communicatively coupled to the housing and configured to communicate with and cause actuation of the one or more rotational actuators (16A, 16B) and the one or more translational actuators (16C, 16D, 16E) and thereby rotate the gears (70A, 70B) and operate an operational aspect of the endoscope, the controller including a foot pedal that allows an operator of the system to remotely rotate the gears (70A, 70B) and operate an operational aspect of the endoscope by foot.