Colonoscopy with polypectomy reduces mortality from colorectal cancer.1,2 A small fraction of polyps are >2 cm and termed lateral spreading lesions (LSLs) of the colon.3 These polyps require advanced resection techniques such as endoscopic mucosal resection (EMR) for safe and effective removal. However, colonic EMR is not routinely part of the general endoscopic curriculum available to gastroenterologists upon completion of their training. It requires dedicated training in advanced endoscopic resection techniques, the acquisition of clinical and interpretive skills, and the knowledge and ability to manage complications.