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Pilonidal Cyst Excision

Medically reviewed by Last updated on Dec 2, 2022.

A pilonidal cyst excision is the removal of a cyst on your lower back that has become infected or abscessed (collection of pus).


Seek care immediately if:

  • You have a fever.
  • You are bleeding from your surgery area.
  • You are having severe pain.
  • Your stitches come apart.
  • Your surgery area is red, hot, or draining pus.

Call your doctor if:

  • You have questions or concerns about your condition or care.


You may need any of the following:

  • Prescription pain medicine may be given. Ask your healthcare provider how to take this medicine safely. Some prescription pain medicines contain acetaminophen. Do not take other medicines that contain acetaminophen without talking to your healthcare provider. Too much acetaminophen may cause liver damage. Prescription pain medicine may cause constipation. Ask your healthcare provider how to prevent or treat constipation.
  • Antibiotics may be given to treat infection caused by bacteria.
  • Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell your provider if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.


  • Care for your procedure area as directed. Keep the area clean and dry. Your healthcare provider will give you instructions for changing your bandage. He or she will tell you when you can bathe or shower.
  • Do not sit for long periods of time. Limit activities that create tension in your lower back.
  • Shave hair from around the area. Consider laser hair removal after you have healed.

Follow up with your doctor as directed:

Write down your questions so you remember to ask them during your visits.

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.