Clean and monitor
Fits when: The camera shows deposit or root hair in pipe whose structure is otherwise sound, with no offsets, cracks or standing water.
Trade-off: The least disruptive answer and a legitimate one when the pipe is intact. It is the wrong answer when a defect is visible, because the cleaning interval simply becomes the maintenance schedule.
Spot repair of one section
Fits when: A single localised defect — one cracked length, one offset joint, one failed connection — in a line that is otherwise in reasonable condition.
Trade-off: Far cheaper than replacing the run, and it depends entirely on the rest of the line genuinely being sound. That is a claim the footage should support rather than something taken on trust.
Trenchless rehabilitation
Fits when: A run with multiple faults or root entry points, where the existing pipe still holds its line and shape well enough to work within.
Trade-off: Avoids opening the whole length, which matters when the run crosses hardscape or mature planting. Not every line is a candidate, and the assessment for that is specific rather than general.
Excavate and replace the run
Fits when: Collapse, severe sagging, or a line so degraded along its length that repairing one part simply moves the next failure along.
Trade-off: The largest and most disruptive option, and the only one that resets the line entirely. It is worth arguing hard against on the strength of one defect, and worth accepting when the footage shows the pipe is finished.