A group of 902 pattern and model makers were screened for colorectal cancer and polyps using a 60-cm flexible sigmoidoscope. Three recent mortality studies have found a significant excess of colorectal malignant neoplasms in this occupational group. Four adenocarcinomas, two carcinoids, and two cancers in situ were found. In addition, 150 (17%) of the individuals were found to have polyps. Among white males 40 to 70 years of age, the prevalence rate was found to be 23%. The prevalence of colorectal polyps among the pattern and model makers was compared with that of four previously studied asymptomatic populations who were also examined using a 60-cm flexible sigmoidoscope. Polyp rates were found to be significantly greater among pattern and model makers than among three of the four comparison populations. The odds ratios between these three populations and the study population ranged from 1.9 to 2.7 and closely approximate the ratios found in previous studies evaluating colon cancer in this occupational group.