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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.

It is possible to cut down a tree on your property yourself, but it is generally not recommended unless specific conditions are met. You should only consider this project if the tree is small (e.g., under 4-5 inches in diameter and short enough that you don't need a ladder to reach the branches), and you are experienced in handling a chainsaw. The tree must also be located far from any power lines, fences, homes, or other structures. Even for small trees, the work can be dangerous, and it's always advisable to have a spotter to ensure the tree falls correctly and no branches fall on you.

For any tree that is large, requires a ladder to access, or is near electrical lines or structures, you should always hire a professional. Attempting to remove a large tree yourself is extremely dangerous, poses a risk of serious injury, and could result in significant damage to your property.

Before any tree removal, it's also important to check your local and state regulations to ensure the tree is not historic or otherwise protected by your city.

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.

The cost of professional tree service, such as trimming, is $460 on average, but the price can range from $75 to $1,800. A more typical range is between $200 and $760. The final price depends on several factors, including the size and type of the tree. For example, trimming Crepe Myrtle trees costs an average of $80 to $400, while giant pine trees can range from $200 to $1,800. Other factors that influence the cost include the time of year, as services are often more expensive in the spring. Your location can also play a role; costs may be higher if you live in a remote area or if the tree is difficult to access. However, some professionals may offer a discount if you have multiple trees that need service.