These are rare disorders that result in polyps in the colon at an early age. They can run in families or can be spontaneous. Patients often have hundreds or thousands of polyps and have a very high risk of developing colorectal cancer. These diseases include Familial Adenomatous Polyposis, Lynch Syndrome (HNPCC), Peutz Jeghers Syndrome, Juvenile Polyposis and other rare syndromes. The treatment of these diseases almost always centers around removal of all or part of the colorectum. These procedures can be performed laparscopically and often involve reconstruction with a pouch. The Colorectal team understand that this disease affects the whole family and the team works with families to guide them through the surgical process and the lifestyle adjustments that have to be made when polyposis syndromes occur in families.