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Polyps of the gallbladder are often incidentally identified during radiographic evaluation of abdominal pain. Once identified, they pose a dilemma with respect to their proper long-term management. Herein, polyps of the gallbladder are reviewed with specific attention to their management in light of their malignant potential. The available data suggest that polyps larger than 10 mm or that show rapid growth should be considered suggestive of malignancy, prompting cholecystectomy.