A lighting apparatus for a C-arm X-ray apparatus is disclosed. The lighting apparatus comprises a housing that surrounds an X-ray receiving element of the X-ray fluoroscope and does not cover a receiving face of the X-ray receiving element. The lighting apparatus further comprises at least one light-emitting element positioned within the housing so as to surround the X-ray receiving element, the at least one light-emitting element being configured for emitting visible light downwards towards an X-ray emitting element of the X-ray fluoroscope. The lighting apparatus further comprises a focusing mechanism that allows for focusing of the light emitted, a fastener for coupling the housing to the X-ray receiving element and a power supply unit for providing an electrical current to the at least one light-emitting element.