This article is a study of risk assessment of trees with hollows, cavities and fruiting bodies for the improvement of the management and protection of urban trees growing along pedestrian routes. 317 trees were examined using TRAQ risk classes, VTA and ISA BMP methodology, Roloff's vitality classification, and sonic tomography (SoT) during the spring and summer of 2021. The collected data was analysed using the Kruskal–Wallis H-test, the Dunn multiple comparison test, the pairwise comparison of proportions with Holm correction, the U-Manna-Whitney test, and the Fisher exact test. The analysed trees grow alongside public footpaths and footways in central Zakopane, Poland. The study results indicate that tree trunk hollows are judged to have no adverse effects on a tree’s vitality when assessed using visual methods and are deemed to have a limited effect on vitality estimated with SoT. Though most high and moderate-risk trees, according to SoT (88% and 80%, respectively), had hollows, such trees were a small fraction of all 171 trees with hollows, cavities and/or fruiting bodies, 2.3% and 8.8%, respectively. Therefore, the decision to remove a tree should be based on advice from a professional arborist, supported by sonic tomography (SoT) or similar objective methods.