Why is it necessary to have surgery for a pilonidal cyst?

In most cases, a pilonidal cyst can be treated without surgery. However, surgery may be necessary if the cyst is large, infected, or has recurred after previous treatments.

Surgical options for a pilonidal cyst include:

* Incision and drainage: This is the simplest surgical procedure for a pilonidal cyst. The surgeon makes a small incision in the cyst and drains the pus. This is usually done on an outpatient basis and does not require general anesthesia.

* Fistulotomy: This procedure is used to treat a pilonidal fistula, which is a tunnel that connects the cyst to the skin. The surgeon makes an incision along the fistula and removes the tunnel. This is also usually done on an outpatient basis.

* Cystectomy: This procedure is used to remove the entire pilonidal cyst. The surgeon makes an incision over the cyst and removes it along with the surrounding tissue. This is a more extensive procedure that is usually performed in the hospital and requires general anesthesia.

The type of surgery that is best for you will depend on the size and location of the cyst, as well as your overall health. Your doctor will discuss the different options with you and help you make the best decision.