A positive stool genetic test may be bowel cancer, it cannot confirm the diagnosis of bowel cancer and the patient will need to have a colonoscopy. Stool genetic test has high sensitivity and specificity for bowel cancer screening. Currently, it can be used for colorectal cancer screening. If positive stool gene test is found, it suggests high risk of bowel cancer, but this test is not the gold standard for diagnosis of bowel cancer, and cannot confirm the diagnosis of bowel cancer. Patients need to follow the doctor’s advice for further examination. Bowel cancer is a relatively common digestive tract tumor, and currently the main way to confirm the diagnosis is through colorectoscopy and gastroenteroscopy. When the stool gene test is positive, patients need to undergo further colonoscopy and biopsy of localized pathological tissues through colonoscopy to confirm the diagnosis. Positive stool gene test is highly suggestive of intestinal cancer and patients should pay attention to it.