The healthcare sector contributes substantially to global greenhouse gas (GHG) emissions, with hospital services being a major source. Interventional radiology (IR), as a resource-intensive subspecialty, has a disproportionately high environmental impact due to its reliance on advanced imaging equipment, sterile disposable materials and climate-controlled facilities. This narrative review aims to raise awareness of the environmental responsibilities of interventional radiologists and propose practical strategies to reduce the carbon, water and ecological footprints associated with IR procedures and operations. The manuscript describes best practices in energy and waste management, the use of environmentally friendly equipment and sustainable facility design, while addressing current barriers to their implementation. Through evidence-based recommendations and practical examples, this position paper advocates for a greener and more sustainable future in interventional radiology.