This study evaluated radiation protection practices in fluoroscopy at Sher-i-Kashmir Institute of Medical Sciences (SKIMS) in Soura, Jammu and Kashmir. A descriptive cross-sectional design involved observing 47 patients and medical professionals during radiological procedures in the gastroenterology and radiology departments. Data were collected using a chart table, focusing on the use of radiation protection apparel and devices. Results showed that 50% of patients were aged 26-35, with an equal gender ratio. Thyroid shields were used by 56.7% and gonad shields by 36.7% of patients. Among radiation technologists, 75% were aged 30-40 and all used lead aprons and thyroid shields. Radiologists were evenly split by age and gender, with all using lead gloves, thyroid shields, collimators, and filters. The findings indicate that SKIMS staff exhibit strong knowledge and adherence to radiation protection guidelines, providing adequate safety measures for patients and themselves.