Why replace a lead pipe?
Because lead can dissolve into the water that sits in the pipe, especially overnight or during a workday, and end up in the water you drink. The only lasting fix is to replace the pipe.
In the meantime, the City of Montréal recommends a few simple habits: run the water until it is cold before drinking it, use a filter certified for lead reduction (NSF/ANSI standard 53) and cook with cold water. Boiling the water doesn’t help: lead does not evaporate.