Medical content by Elias Tsiolis, Director Surgeon · Last updated: 11 May 2026
It mainly affects young adults, both men and women, and is associated with body hair, sweating and a sedentary lifestyle.
Everything You Need to Know About Pilonidal Cysts
Causes and Risk Factors
- Hairs trapped under the skin
- Friction and pressure (e.g. prolonged sitting, tight clothing)
- Excessive sweating and poor ventilation of the area
- Hereditary predisposition
Symptoms
- Pain and swelling over the tailbone
- Redness and tenderness
- Discharge of pus or blood
- Abscess formation
- Frequent recurrence of all the above symptoms if not treated effectively
Treatment
The definitive treatment is surgical. Today, modern minimally invasive techniques are used that offer immediate relief and fast healing.
Surgical Treatment
Laser or Radiofrequency Micro-procedure
- Cleaning and ablation of the sinus tract with laser or RF
- Local anesthesia
- Minimal wound – no stitches
- Return to work in 1–2 days
Classic excision (in advanced cases)
- Removal of the sinus tract with or without stitches
- Healing in 2–6 weeks
Aftercare
- Good hygiene and shaving of the area
- Avoid prolonged sitting for 2–3 days
- Light activity from the next day
- Follow-up every 7–10 days
Frequently Asked Questions
Is a pilonidal cyst dangerous?
No, but if left untreated it can cause significant everyday hygiene problems or develop into painful abscesses.
Is the procedure painful?
No, it is performed under local anesthesia and pain is minimal.
Will there be a scar?
Not with modern laser or RF methods — the cosmetic result is excellent.
Can it come back?
If hygiene and shaving instructions are followed, recurrence is rare.