Gallbladder polyp (GBP) is a common yet often incidental finding in abdominal imaging. Gallbladder cancer is a rare disease with a high mortality due to late onset of symptoms and diagnostics. Most GBPs are pseudopolyps which do not undergo malignant transformation, however some are true neoplastic polyps with a malignant potential. In this review based on newly published international guidelines we recommend management in terms of assessment of individual risk factors as well as ultrasound features associated with risk of malignancy. A diagram with suggested algorithm is provided.