Just over half of endoscopists use cold snare polypectomy to remove small polyps of less than 1 cm, even though the U.S. Multisociety Task Force recommends its use for small lesions. This was revealed in new research presented at the annual meeting of the American College of Gastroenterology in Vancouver. Cold snare polypectomy is favored for removing polyps smaller than 1 cm due to its high complete resection rate and strong safety profile. In contrast, forceps and hot snares often result in high incomplete resection rates, inadequate histopathologic specimens, and/or increased complication rates. The average endoscopist cold snare polypectomy rate was 51.2%, which is “lower than expected based on current guideline recommendations.” The study found a correlation between higher cold snare usage and improved quality metrics, such as adenoma detection rate and cecal intubation rate.