My husband has had a recurring pilonidal cyst in the same spot ever since he started working from home. It's come back 34 times now, but we haven't done any treatment yet. A surgeon recently recommended flap surgery, but I'm wondering if surgery is really the only option or if there's something else that could prevent it from coming back again

Answered by 1 Apollo Doctors

Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

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To prevent recurrence of pilonidal sinus after surgery, focus on hygiene, hair removal, and lifestyle modifications. Maintain good hygiene, including regular showering and drying the area, to prevent bacterial accumulation. Regular hair removal, ideally weekly, is crucial to avoid ingrown hairs that can trigger infection. Additionally, consider laser hair removal for more permanent hair reduction. Avoid prolonged sitting, as it can put pressure on the area, and maintain a healthy weight

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Answered 14/08/2025

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