A new study published in Endoscopy International Open assessed patients opinions about waking early for split-dose bowel preparation (SDBP). During this study, a self-administered survey was distributed among patients in Canada between 2015 and 2016. Logistic regression was performed to determine predictors of reluctance to use early morning BP. The findings showed that of the 1336 respondents, 33 % had used SDBP for their current colonoscopy. Overall, 49 % respondents were willing, 24 % neutral, and 27 % reluctant to do early morning BP. Predictors of reluctant behavior relative to willingness were number of prior colonoscopies, female gender, unclear BP information, high BP anxiety, current colonoscopy being performed to diagnose bowel symptoms, use of 4 L of polyethylene glycol laxative, not having SDBP, and not having finished the laxative for the current colonoscopy. Similar results for predictors were obtained on ordinal logistic regression. Hence, it was concluded that about one-third patients do not express reluctance to get up early for BP. Among those who are reluctant, improving BP information, allaying BP-related anxiety, and use of low volume BP may increase acceptance of SDBP.