Endometrial polyp is a common gynecological disease, some patients can be asymptomatic, those with symptoms mainly manifested as irregular vaginal bleeding, can also lead to infertility, or even cancer, and need regular review. Treatment is mainly surgical. 1.Regular review: Since endometrial polyps without clinical symptoms and with a diameter of <1cm can disappear naturally within 1 year, with a probability of about 27%, and the probability of cancer is also very low, not more than 1%, so no special treatment is needed, and regular review is sufficient. However, patients who want to get pregnant, or those who have increased vaginal bleeding or vaginal discharge with bad odor should consult the doctor in time and take appropriate treatment. Surgery: (1) Hysteroscopy: For symptomatic patients with large endometrial polyps or patients with fertility requirements, surgery is usually required. Hysteroscopy is preferred to remove the polyps, control bleeding and preserve the uterus without affecting the ovarian function. For patients with cancerous tendency or menopause, huge polyps, and age >40 years old, diagnostic scraping or endometrial biopsy should be performed at the same time of polyp removal to clarify whether the polyp is cancerous or not. (2) Hysterectomy: If the patient has endometrial hyperplasia or multiple polyps at the same time, superficial endometrial resection is feasible; for patients with high-risk factors, no fertility requirements, and recurrent polyps, endometrial removal is required at the same time as polyp removal; if there is a risk of malignant transformation even after endometrial removal, hysterectomy is required. In summary, asymptomatic patients or those with small diameters do not need treatment, and regular checkups are sufficient; symptomatic patients, patients with large polyps, multiple polyps, or those with recent fertility requirements need surgery.