diff --git a/.coveragerc b/.coveragerc
index db191405522..1032ac2db0a 100644
--- a/.coveragerc
+++ b/.coveragerc
@@ -316,6 +316,7 @@ omit =
     homeassistant/components/ezviz/__init__.py
     homeassistant/components/ezviz/alarm_control_panel.py
     homeassistant/components/ezviz/binary_sensor.py
+    homeassistant/components/ezviz/button.py
     homeassistant/components/ezviz/camera.py
     homeassistant/components/ezviz/image.py
     homeassistant/components/ezviz/light.py
diff --git a/homeassistant/components/ezviz/__init__.py b/homeassistant/components/ezviz/__init__.py
index 59dfb7c269c..c007de78130 100644
--- a/homeassistant/components/ezviz/__init__.py
+++ b/homeassistant/components/ezviz/__init__.py
@@ -35,6 +35,7 @@ PLATFORMS_BY_TYPE: dict[str, list] = {
     ATTR_TYPE_CLOUD: [
         Platform.ALARM_CONTROL_PANEL,
         Platform.BINARY_SENSOR,
+        Platform.BUTTON,
         Platform.CAMERA,
         Platform.IMAGE,
         Platform.LIGHT,
diff --git a/homeassistant/components/ezviz/button.py b/homeassistant/components/ezviz/button.py
new file mode 100644
index 00000000000..1c04de956c6
--- /dev/null
+++ b/homeassistant/components/ezviz/button.py
@@ -0,0 +1,131 @@
+"""Support for EZVIZ button controls."""
+from __future__ import annotations
+
+from collections.abc import Callable
+from dataclasses import dataclass
+from typing import Any
+
+from pyezviz import EzvizClient
+from pyezviz.constants import SupportExt
+from pyezviz.exceptions import HTTPError, PyEzvizError
+
+from homeassistant.components.button import ButtonEntity, ButtonEntityDescription
+from homeassistant.config_entries import ConfigEntry
+from homeassistant.core import HomeAssistant
+from homeassistant.exceptions import HomeAssistantError
+from homeassistant.helpers.entity_platform import AddEntitiesCallback
+
+from .const import DATA_COORDINATOR, DOMAIN
+from .coordinator import EzvizDataUpdateCoordinator
+from .entity import EzvizEntity
+
+PARALLEL_UPDATES = 1
+
+
+@dataclass
+class EzvizButtonEntityDescriptionMixin:
+    """Mixin values for EZVIZ button entities."""
+
+    method: Callable[[EzvizClient, str, str], Any]
+    supported_ext: str
+
+
+@dataclass
+class EzvizButtonEntityDescription(
+    ButtonEntityDescription, EzvizButtonEntityDescriptionMixin
+):
+    """Describe a EZVIZ Button."""
+
+
+BUTTON_ENTITIES = (
+    EzvizButtonEntityDescription(
+        key="ptz_up",
+        translation_key="ptz_up",
+        icon="mdi:pan",
+        method=lambda pyezviz_client, serial, run: pyezviz_client.ptz_control(
+            "UP", serial, run
+        ),
+        supported_ext=str(SupportExt.SupportPtz.value),
+    ),
+    EzvizButtonEntityDescription(
+        key="ptz_down",
+        translation_key="ptz_down",
+        icon="mdi:pan",
+        method=lambda pyezviz_client, serial, run: pyezviz_client.ptz_control(
+            "DOWN", serial, run
+        ),
+        supported_ext=str(SupportExt.SupportPtz.value),
+    ),
+    EzvizButtonEntityDescription(
+        key="ptz_left",
+        translation_key="ptz_left",
+        icon="mdi:pan",
+        method=lambda pyezviz_client, serial, run: pyezviz_client.ptz_control(
+            "LEFT", serial, run
+        ),
+        supported_ext=str(SupportExt.SupportPtz.value),
+    ),
+    EzvizButtonEntityDescription(
+        key="ptz_right",
+        translation_key="ptz_right",
+        icon="mdi:pan",
+        method=lambda pyezviz_client, serial, run: pyezviz_client.ptz_control(
+            "RIGHT", serial, run
+        ),
+        supported_ext=str(SupportExt.SupportPtz.value),
+    ),
+)
+
+
+async def async_setup_entry(
+    hass: HomeAssistant, entry: ConfigEntry, async_add_entities: AddEntitiesCallback
+) -> None:
+    """Set up EZVIZ button based on a config entry."""
+    coordinator: EzvizDataUpdateCoordinator = hass.data[DOMAIN][entry.entry_id][
+        DATA_COORDINATOR
+    ]
+
+    # Add button entities if supportExt value indicates PTZ capbility.
+    # Could be missing or "0" for unsupported.
+    # If present with value of "1" then add button entity.
+
+    async_add_entities(
+        EzvizButtonEntity(coordinator, camera, entity_description)
+        for camera in coordinator.data
+        for capibility, value in coordinator.data[camera]["supportExt"].items()
+        for entity_description in BUTTON_ENTITIES
+        if capibility == entity_description.supported_ext
+        if value == "1"
+    )
+
+
+class EzvizButtonEntity(EzvizEntity, ButtonEntity):
+    """Representation of a EZVIZ button entity."""
+
+    entity_description: EzvizButtonEntityDescription
+    _attr_has_entity_name = True
+
+    def __init__(
+        self,
+        coordinator: EzvizDataUpdateCoordinator,
+        serial: str,
+        description: EzvizButtonEntityDescription,
+    ) -> None:
+        """Initialize the button."""
+        super().__init__(coordinator, serial)
+        self._attr_unique_id = f"{serial}_{description.key}"
+        self.entity_description = description
+
+    def press(self) -> None:
+        """Execute the button action."""
+        try:
+            self.entity_description.method(
+                self.coordinator.ezviz_client, self._serial, "START"
+            )
+            self.entity_description.method(
+                self.coordinator.ezviz_client, self._serial, "STOP"
+            )
+        except (HTTPError, PyEzvizError) as err:
+            raise HomeAssistantError(
+                f"Cannot perform PTZ action on {self.name}"
+            ) from err
diff --git a/homeassistant/components/ezviz/camera.py b/homeassistant/components/ezviz/camera.py
index 01e8425c13b..7f03aef1d97 100644
--- a/homeassistant/components/ezviz/camera.py
+++ b/homeassistant/components/ezviz/camera.py
@@ -263,6 +263,17 @@ class EzvizCamera(EzvizEntity, Camera):
 
     def perform_ptz(self, direction: str, speed: int) -> None:
         """Perform a PTZ action on the camera."""
+        ir.async_create_issue(
+            self.hass,
+            DOMAIN,
+            "service_depreciation_ptz",
+            breaks_in_ha_version="2024.2.0",
+            is_fixable=True,
+            is_persistent=True,
+            severity=ir.IssueSeverity.WARNING,
+            translation_key="service_depreciation_ptz",
+        )
+
         try:
             self.coordinator.ezviz_client.ptz_control(
                 str(direction).upper(), self._serial, "START", speed
diff --git a/homeassistant/components/ezviz/strings.json b/homeassistant/components/ezviz/strings.json
index 0245edc0e3e..d60c4816d24 100644
--- a/homeassistant/components/ezviz/strings.json
+++ b/homeassistant/components/ezviz/strings.json
@@ -81,6 +81,17 @@
           }
         }
       }
+    },
+    "service_depreciation_ptz": {
+      "title": "EZVIZ PTZ service is being removed",
+      "fix_flow": {
+        "step": {
+          "confirm": {
+            "title": "[%key:component::ezviz::issues::service_depreciation_ptz::title%]",
+            "description": "EZVIZ PTZ service is deprecated and will be removed.\nTo move the camera, you can instead use the `button.press` service targetting the PTZ* entities.\n\nPlease remove the use of this service from your automations and scripts and select **submit** to close this issue."
+          }
+        }
+      }
     }
   },
   "entity": {
@@ -99,6 +110,20 @@
         "name": "Last motion image"
       }
     },
+    "button": {
+      "ptz_up": {
+        "name": "PTZ up"
+      },
+      "ptz_down": {
+        "name": "PTZ down"
+      },
+      "ptz_left": {
+        "name": "PTZ left"
+      },
+      "ptz_right": {
+        "name": "PTZ right"
+      }
+    },
     "binary_sensor": {
       "alarm_schedules_enabled": {
         "name": "Alarm schedules enabled"