Leaving high cholesterol untreated increases the risk of debilitating heart attacks and strokes. Some patients remain reluctant to take statins (a class of medication used to treat hypercholesterolaemia), for fear of side effects such as liver inflammation and muscle aches. However these side effects are fairly uncommon and generally reversible upon cessation of the medication. Moreover, whenever a doctor makes a recommendation for a patient to go on medication, an assessment as to what the relative risk and benefit is, would have been made. And the doctor will make a recommendation for treatment when the benefit is clearly greater than the risk. Hypercholesterolaemia is a highly treatable condition, often with significant reduction of vascular risk upon treatment. It is advisable for patients to go for regular screening and actively discuss treatment options with their doctors for this common and potentially hazardous condition.