Clean it and leave it
Fits when: The pipe is intact, the material was buildup, and the cause is explainable — a kitchen line that has had years of grease through it, a bathroom branch full of hair.
Trade-off: The least expensive answer and the right one more often than people expect. It relies on the camera having actually looked, because "the pipe is fine" is a claim, not a default.
Clean it and change what goes into it
Fits when: A recurring blockage with a behavioural cause — grease down a kitchen sink, wipes through a toilet, a laundry line taking lint with no filter.
Trade-off: Costs nothing extra and works, but only if the actual cause was identified rather than assumed. It is worth saying plainly: some recurring clogs really are a habit rather than a defect.
Spot repair the defective section
Fits when: The camera finds one identifiable fault — a cracked length, a separated joint, a section crushed by something — in a line that is otherwise in reasonable condition.
Trade-off: Fixes the actual cause for far less than replacing the run. It depends on the rest of the line genuinely being sound, which is a judgement about pipe material and age as much as about the footage.
Repair or replace the run
Fits when: Damage in multiple places, a material that is failing generally, or a sag that means waste settles somewhere along the line every time it is used.
Trade-off: The large answer, and the only one that ends a genuine structural problem. This is a sewer line conversation rather than a drain cleaning one, and it deserves its own inspection and its own decision.