The removal of colon polyps is an effective measure of colorectal cancer prevention. For many years electrosurgical methods have been routine, but they have been associated with an increased risk of complications: serositis, bleeding and perforation. Purpose. Of the study was to assess the efficacy and safety of small (less than 10 mm) polypectomies through so-called cold methods — snare or forceps, without the electric cautery, during a diagnostic colonoscopy of out-patients. Material and methods. The surgical radicalism criterion was complete absence of residual polyp tissue at wound edges of the colon mucosa. The results of total 73 colon polypectomies in 50 patients were analized and published in this article. Results. The following techniques were used: cold forceps polypectomy for 35.6% of the polyps (26/73); cold snare polypectomy, with en-bloc resection for 61.6% of the polyps (45/73); cold snare polypectomy supplemented by cold forceps for residual tissues in 2.7% of the polyps (2/73). Slightly elevated polyps (type 0-IIA) 75.3% (55/73); polypoid shape (type 0-Is) 24.6% (18/73). At the same time, the depression area was determined in 16.4% of the polyps. Path morphology diagnosis reported serrated type in 43.8% (32/73), and a non-serrated type was found in 56.2% (41/73) of the polyps. One polyp (1.4%) had a villous structure. No high grade dysplasia or cancer was found. In none of the cases the intervention led to complications. Conclusion. The removal of small (less than 10 mm) colon polyps using cold methods is an efficient and safe technique with a low risk of complications, which can be used at out-patients.