Systems are methods are provided for heating an endoscope to defog or avoid from fogging of lens. The endoscope heater may have an elongated body that attaches to the shaft of an endoscope with a controller to operate a heating element disposed on the body. The controller may maintain the heating element at a predetermined temperature. In use, the controller may be operated to energize the heating element and warm the endoscope above ambient temperature prior to introduction into the patient's body.