 If you're in high-risk situations where you have a hereditary cancer syndrome, a family history of cancer, then you will likely need colonoscopies even earlier. It's essential to remove the premalignant lesions if they discover them. Some of my patients will come in and they'll say, you know, I had a colonoscopy and they found a benign polyp. Well, most polyps are not benign. Most polyps are premalignant, which means if you don't remove them,