A pilonidal cyst does not always require surgery. Though surgical intervention is often recommended for severe or recurrent cases, not all cysts require this method of treatment. In some instances, mild cases can be treated at home by applying warm compresses to soothe the discomfort and keeping the area clean to avoid infection.
Infections may need to be treated medically by way of antibiotics or drainage to relieve the symptoms. For some individuals, these non-surgical treatments are sufficient to deal with the condition, especially when it is diagnosed early. Surgery is usually reserved for those cases where the cyst is large, frequently recurring, or causing significant discomfort.
The key is to know your symptoms well. If one has persistent pain, swelling, or drainage, it is important to seek a healthcare provider's advice. They can determine whether surgery is required or if a less invasive approach will work.
Always take professional advice specific to your situation seriously. Many times, early action will eliminate the possibility of having to deal with intensive treatments.