Success story here, figured I’d try to sum up the last 5 years of dealing with one of these cysts. Noticed the cyst when I was 21, and didn’t take it seriously until I was 24 when I realized it wasn’t going away. I had my first surgery when I was 25 and it was a closed surgery. It wouldn’t heal so 6 months later I had a big, scary, open surgery. That didn’t heal 100% but it healed 90%. I was sick of having surgery so I went and worked full time for about two years and I was pretty happy but the 90% healed wound was too much to handle after two years of working full time. When I was 28 I had my third surgery, which was a closed surgery. A few weeks later it became infected so I had to have another surgery, which was an open surgery. This was my 4th surgery, and at this point my family and friends were treating me like a cancer patient because of the health disaster I was dealing with. The 4th surgery seemed like it didn’t want to heal, and that is where the magic started happening. My surgeon sent me across the hall to see a colorectal wound care doctor named Donna, at Lahey Clinic in Burlington, MA. Donna decided to put a wound vac on me for two weeks to see if that helped. It helped significantly and she ended up keeping it on for 6 weeks. After the wound vac came off, I was fully healed within a month. So Donna and the wound vac really saved me, but it was in conjunction with several other factors. I will list some things which I learned are required for healing. If you want to heal one of these cysts I would say you absolutely need to do all of these things… 1) Exercise and work out. Obviously don’t stress the tailbone area at all, but work out areas that won’t stress your tailbone area, and get exercise. Get up and move around. You will never heal if you lay around and be lazy, this is what I learned. For a whole summer I was laying on the couch after surgery, and my healing was totally stalled. I was trying to take it easy and give it time to heal properly but it wasn’t healing. After the summer I said “Screw it, I’m not gonna let this thing sink the whole ship.” So I decided to start getting back into exercising and working out and not only did I instantly feel 10x better, my surgery wound started healing again. 2) Go get frequent laser hair treatments and get that whole area nuked. I’ve had that area lasered 7 times and that was a requirement for my healing. Hair in that area will prevent healing. 3) Eat healthy. This is extremely important. Eat tons of protein and orange juice and no garbage. You won’t heal if you eat garbage. 4) Vitamins seemed to help in my situation. My wound care doctor put me on 1000mg of vitamin C and I think 150mg of zinc per day for two weeks and we think that helped a lot. 5) Get a detachable shower head that you can take off, and aggressively clean your surgery area with it everytime you shower. My doctors said to set the shower head to the strongest setting and wash that whole area for a good minute or two. This is borderline painful and scary at first, but it really nukes that whole area and cleans it well. I also think it helps get rid of dead skin in the wound and leaves only the good, new, healing skin. 5) I’d recommend avoiding any sitting during healing. Sitting will screw up that area during healing. Hope this helps. The biggest challenge of dealing with this cyst situation for me was receiving hundreds of pieces of conflicting advice (it seems like every doctor has a totally different view about what to do) and trying to sort it all out and figure out what will work. The things I listed above were the things that I think could have saved me years of suffering if I had known then from the start. Good luck.