The primary aim of this work was to propose local diagnostic reference levels (LDRLs) for fluoroscopy examinations in two selected radiological imaging facilities in Ghana for subsequent improvement of optimization. DRLs was established for the frequently performed procedures, which includes, hysterosalpingogram (HSG), urethrogram (Utg) and barium swallow (BaS) examinations. The DRLs for KAP and screening time values estimated for hysterosalpingography was 6.0 Gy.cm2 and 0.60 minutes, ; Barium swallow was 12.1 Gy.cm2 and 1.4 minutes ; and urethrogram studies was 7.0 Gy.cm2 and 0.7 minutes for Facility A . Whiles for Facility B, the DRLs for KAP and screening time values estimated for hysterosalpingography was 4.1 Gy.cm2 and 0.50 minutes, ; Barium swallow was 11.2 Gy.cm2 and 1.2 minutes ; and urethrogram studies was 6.5 Gy.cm2 and 0.7 minutes.