This review summarizes the work-up and treatment of gastric polyps. Fundic gland polyps can be identified macroscopically, and they generally bear no malignancy potential. Hyperplastic polyps and adenomas require histology to be diagnosed. Adenomas should always be resected, whereas resection of hyperplastic polyps is recommended if they bear atypical features. Eradication of concomitant Helicobacter pylori is recommended as it may causes regression of the polyp(s). Standardized biopsies from the surrounding mucosa should be taken on the smallest indication. The discovery of adenomas or dysplasia calls for a one-year followup.