Whether the polyps detected by colonoscopy need to be removed immediately mainly depends on the pathological types of polyps, such as inflammatory polyps, adenomatous polyps, hyperplastic polyps, familial polyps, etc., in which inflammatory polyps do not need to be removed immediately, hyperplastic polyps, familial polyps, and adenomatous polyps in the chorionic adenoma, serrated adenoma, etc., which need to be removed immediately. 1. Inflammatory polyps: Inflammatory polyps, generally after active treatment to control inflammation, the polyp may disappear on its own, without immediate excision. 2. Hyperplastic polyps: If a hyperplastic polyp continues to grow and become larger, and its diameter exceeds 1 centimeter, it should be removed immediately. 3. Familial polyps: If the polyp is familial, it is hereditary in nature and the possibility of cancer is relatively high, so it should be removed immediately. 4. Adenomatous polyp: if it is adenomatous polyp, it can be divided into choriocarpous adenoma, serrated adenoma and mixed adenoma, etc. Among them, choriocarpous adenoma and serrated adenoma are prone to cancerous transformation, so they should be removed immediately. If polyps are detected by colonoscopy, it is recommended to cooperate with professional doctors as soon as possible to improve the next step of the examination, to clarify the pathological type of polyps, size and the possibility of cancer, and then consider whether to surgically remove the polyp as a therapeutic measure. Follow the doctor’s advice.