PA to me was actually a complete and total surprise. I had a car accident and had tailbone pain. They thought I had broken my tailbone from the impact....turns out, not so much! I ended up with a golf ball sized abscess and the most excruciating experience of my life. All of this happened in November of 2012. Prior to this, I had never even had a twinge in my tailbone area, or any sign of it. I had my cleft lift in February 2013. So, I actually only had an abscess for 3 months. And it was horrific. I had very extensive disease (which is actually very rare to go from no symptoms to a softball sized abscess that went all the way to my tailbone and actually wrapped around it). Dr. Sternberg actually mentioned that I came no where near to following the text book. So, I try to point that out to people....my case is considered rare (and very extensive!) Hence the reason I had a close to 9" scar from my cleft lift. And I also thank my lucky stars every day that I didn't do an open wound surgery, as they would have had to pretty much remove a butt check So, it is a caution I also give...there is no way to tell (minus an MRI or some such thing) how extensive the disease is under the surface, and how large the open excision would be...until the surgeon gets in there. I am still a firm believer in the cleft lift being the best available procedure. Of course, it isn't available to everyone out there (which, hopefully, one day will change). Until that time, people have to make the best informed decision they can. And, education and knowledge is power!