Endometrial polyp is a common gynecological disease, some patients can be asymptomatic, and those with symptoms mainly show irregular vaginal bleeding, which can also lead to infertility or even cancer, and need to be reviewed regularly. Patients with asymptomatic endometrial polyps <1cm in diameter are mostly found during medical checkups. For patients with symptoms and large endometrial polyps, surgical treatment is usually required. Hysteroscopic surgery is preferred, such as hysteroscopic polyp removal and scraping, which can remove polyps, control bleeding, and preserve the uterus without affecting ovarian function. For patients with high risk factors for cancer or abnormal endometrial hyperplasia, such as menopause, huge polyps, and age >40 years, scraping or endometrial biopsy should be performed at the same time of polyp removal to clarify whether the polyp is cancerous. If the patient is also combined with endometrial hyperplasia or multiple polyps, superficial endometrial resection is feasible to improve the local microenvironment of the uterus, and the menstrual flow will be significantly reduced after surgery. For patients with high-risk factors, no fertility requirements, and previous polyp recurrence, endometrial debridement is required along with polyp removal; if endometrial debridement still does not improve the risk of malignant transformation, hysterectomy is performed instead. In summary, asymptomatic or small diameter polyps do not require treatment and can be reviewed regularly; patients with symptoms and large polyps require surgery.