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It depends on the problem, the affected part of the tree, the risk of the pathogen spreading, and the overall health of your tree. Many diseases, fungal infections, and insect infestations can be successfully treated, especially if the issue is only in a few branches. However, if a disease is too widespread, too severe, too easily spread, or in the roots, the tree will likely need to be removed.

You can use herbicides to prevent roots from growing without killing the tree itself, however they must be used with caution. Systemic herbicides are absorbed by the root and can kill off problematic roots. However, herbicides can sometimes negatively impact nearby plants, so the solution is best used sparingly.

Generally speaking, you’ll want to avoid flush cuts, which are cuts made as extremely close to the trunk or main branch. These cuts can weaken your tree, lower its natural defense mechanisms, and even cause decay. You’ll also want to avoid tree topping, which is the total removal of the leader and upper main branches of a tree. 

Most pros will advise against either of these methods, which is why hiring a pro is often the best choice when it comes to tree trimming.

Trees should be pruned every two to five years, depending on its age and type. Young trees should be inspected and pruned every two to three years. Mature trees should be inspected and trimmed every three to five years, and fruit trees should be pruned annually with a careful eye on seasonal growth. Evergreens typically don’t need pruning, unless branches or limbs are damaged, diseased, or harboring pests.