Objective: Our aim was to study histopathologic pattern of the polypoid lesions in Albania. Method: We studied 216 lesions, 184 polypectomies and 32 colorectal surgery in 139 patients in Tirana. Results: There were observed 216 polypoid lesions of large intestine in 122 males and 91 females.105(48.6 %) were adenomatous polyps, 31(14.35 %) were hyperplastic, 24 (11 %) were inflammatory polyps with ulcerative colitis, 10 (4.6 %) were inflammatory 6(2.77 %) were juvenile polyps, 2(0.92) non Hodgkin's lymphoma and 1 (0.46) was fibrolipoma. Tubular adenomatous polyps were the commonest polyps. They were more common 56 (25.9 %) in male population as compared to female 19(8.79 %). High grade dysplasia was present in 50 (23.14 %) and malignant change in 26 (12 %). The size of the polyps range from 0.5 to 4 cm. Conclusion: Adenomatous polyps were the most frequently found polyps in our study; the approximately 24 % were advanced lesions.