Personally, I hope that I'm wrong and my doctor tells me I'm crazy for worrying about having another pilonidal cyst, and I don't have to visit this forum other than to offer advice to anyone undergoing this condition. However, if I had to wager on it, I'd say I should be prepared to be informed I have yet another cyst. I woke up this morning with terrible discomfort in my tailbone area. And given that I have already had two surgeries to remove pilonidal cysts, I immediately called my doctor. While the area isn't on fire/hot - as has been the case in the past - I can't help but shake the feeling that I have yet-another pilonidal cyst. While I hope I am wrong, and have still yet to confirm the existence of another cyst with my doctor, I can't help but put my money on this being the trifecta for me. As for treatment options, I'm not entirely certain which course I would undertake. I'm leaning towards another cleft lift, but I am debating going with an open wound treatment since I've heard that it has a lower recurrence rate, and given my history, extreme times call for extreme measures. However, given that I could potentially wind up somehow getting a 4th cyst down the line if I get this wrong, I'm willing to hear anyone out on pursuing different treatments options.