I have had a Pilonidal Abscess for over a year now and I have figured out a reasonable process for people who are avoiding surgery. A little background about myself is that I had it happen the first time in April 2015. I didnt know what was happening and I went to emergency. They had it lanced. The shot was extremely painful, most pain I ever felt from a doctor. 8-9 out of 10 on my pain scale.After this healed, My surgeon recommend Hot baths for 45 minutes to 1 hour and i started doing them daily. The next few flare ups popped naturally during my hot bathes. It did hurt to walk for 3 days but then they burst naturally. I never had any further issues other then the fill up and burst in the tub. I am going to explain what i do below but i wanted to say that my current standing is that i get a minor inflammation every 1-2 months and then it goes away with no pain or bursting. LifeStyle Changes I do: - Changed my seats to include Coccyx cushions in my car and office seats. - Hot bathes(as hot as you can take) nearly every day for 45 minutes. (Twice a day during potential inflammation times) - When you feel it coming back, I added 15 minutes of castor oil on the cyst before the hot bath. (Be careful because oil stains) THIS STEP IS A BIG DEAL TO MINIMIZING AN INFLAMMATION COMING! -Exercise weekly by running. - Changed diet. Doubled vegitables and fruit, cut dairy, red meat, and carbs in half! I use to have a burst every 1-2 months but after i changed my lifestyle, it has been 6 months with no major pain. This is Just my story and what i do. I am definitely not a doctor and this is just my personal experience. I am not sure if it is all or some of these things, but it has been working well! It doesnt stop them, but it never makes me incapacitated anymore.