Where Can I Get A Pilonidal Cyst Removed?

A pilonidal cyst develops as a result of ingrown hairs which is trapped underneath the skin. The cyst is filled with hair, fluids, and skin debris. This leads to the irritation resulting in the formation of pus. The cyst may appear like pimples in its initial stage. Also, it may become sore and tender to the touch. To know where can you get a pilonidal cyst removed, continue reading.

In case of infection, the cyst grows into a pilonidal abscess which is quite painful. Appearance-wise, the skin will turn red and tender and at times there might be drainage of foul-smelling pus. In such a situation, you need to get immediate medical attention to prevent the infection from spreading. Without proper treatment, the infection can lead to the formation of a pilonidal sinus. 

Potential risk factors

There is hardly anyone who can tell you why these cysts are formed as everyone is uncertain about it. However, there are some potential risks that you must be aware of. The following may increase your chances of having pilonidal cysts :

  • Obesity
  • Male
  • Sitting continuously for more than 2 hours
  • Frequent cycling
  • Wearing tight clothes
  • Lethargy
  • Excessive hair growth that is coarse and stiff

Scientifically, there is no particular age to start having pilonidal cysts. That is to say, almost anyone can have cysts at any age. However, those who fall between the adolescent period and late thirties are at higher risk. 

Diagnosis of pilonidal cysts

Pilonidal cysts can be easily diagnosed by your physician. They may ask about your medical history, symptoms, and personal habits. They will take a look at the affected area. 

How to prepare for the appointment?

Schedule an appointment with a healthcare provider near you. If you are lucky enough then you might be referred to a pilonidal surgeon or a dermatologist who are experts in treating skin diseases. The next is to prepare yourself with the following:

  • Since when have you been experiencing the symptoms?
  • Is it your first time or have you experienced it before?
  • Did you try anything to manage the symptoms?
  • Was there anything that lead to the aggravation of the symptoms?
  • Are you on any medications or supplements?

What should you expect from the doctor?

The doctor or the specialist will evaluate your condition by asking the following questions:

  • Did you experience any fever?
  • Is the pain tolerable or not?
  • What is your profession? 
  • Does your work require you to sit for long hours?


Now let’s take a look at where can you get the treatment and the available treatment options. Generally, the treatment for pilonidal cysts is an in-office procedure. However, in case of recurrence, surgery for the removal of the cyst is the only available option. 

Treatment options for pilonidal cysts

As far as the treatment of pilonidal cysts is concerned, it requires a firsthand approach. The following are some of the available treatment options:

Drainage and cleaning

In this procedure, the doctor will make an incision to drain the pus from the cyst. Then follows the cleaning of the area, removing the hair and skin debris. And then, the wound will be left open to heal. It may take a couple of weeks to recover. Throughout the healing period, it is important to keep the wound clean to avoid infection.


In this treatment procedure, the doctor will sew the edges of the to create a pouch-like structure. The process of Marsupialization involves the creation of a smaller wound. In this treatment method, the need to replace your gauze regularly does not arise. However, the wound might take longer to heal.

Closed wound

This procedure is quite similar to the draining and cleaning procedure. The only difference is, here, the doctor will suture the wound to close it. Hence, this is a more convenient procedure as there is no need for gauze and the healing process is also quicker. 

Depending on the location of the cyst, your doctor will decide which procedure will be best for you. Also, post-treatment, the doctor will give you instructions on how to take care of the wound and when should you call them. In addition, you need to keep the surgical site clean and free from hair. Therefore, you may have to shave the area regularly. In terms of convenience, avoiding gauze may be a better option. However, with this procedure, removing the whole cyst might not be possible. And this may increase the risk of the cyst coming back. Hence, this procedure might not be suitable for everyone.

Pilonidal cysts surgery costs

As far as the costs of pilonidal cysts surgery are concerned, they will vary according to the treatment. In addition, factors such as your location, and the type of coverage your insurance provides play a role in determining the costs. In case, you plan to pay through credit card or cash then you can even ask for a discount. The following is an approximation of the various treatment options:

  • Cost for excision treatments may range from $3,000 – USD 6,000
  • For conservative treatments, it may range from $500 – USD 2,000
  • While the cost of Flap surgeries may range from $10,000 – USD 30,000

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