Pilonidal Cyst Treatment for Los Feliz
You can out-hike almost anything in Griffith Park except a pilonidal cyst. When the tailbone lump keeps swelling after every long sit at the coffee shop on Vermont or every drive across town, the eastside’s closest definitive fix is the Pilonidal Institute: an outpatient flap procedure by Cedars-Sinai colorectal surgeons, thirty minutes west on Beverly.
Three Patterns That Mean It Is Pilonidal
The refilling lump
Swells over days, sometimes drains on its own, shrinks, then returns. A boil does this once; a pilonidal tract does it on a schedule.
Pain that tracks sitting
Worse after the Los Feliz-to-Westside drive, movie nights at the Vista, or a deadline week at the desk. Pressure is the trigger because the tract lies right under the sitting line.
The midline pit
A tiny dimple or hole in the crease above the tailbone, sometimes with a hair visible. It is the doorway to the tract and the giveaway sign clinicians look for.

Removal and Reconstruction in One Session
Drainage relieves; excision without smart closure relapses. The operation we perform removes the entire sinus network, then rotates neighboring healthy tissue over the site so the healed line sits away from the midline crease. Published recurrence with this method approaches zero.
It is outpatient, takes about an hour, and involves no gauze packing afterward. Most Los Feliz patients are back at work, and back on the Fern Dell trail at a walking pace, within days.
Two Surgeons, One Uncommon Focus

Dr. Yosef Nasseri
MD, FACS, FASCRSDouble board-certified, Associate Professor of Surgery at Cedars-Sinai, and published on flap-based pilonidal repair and minimally invasive surgery.
Meet Dr. Nasseri →
Dr. Moshe Barnajian
MD, FASCRSCedars-Sinai and Stony Brook trained colorectal surgeon and Super Doctors Rising Star, with deep experience in recurrent pilonidal disease.
Meet Dr. Barnajian →Beverly Boulevard, Straight Shot
From Hillhurst or Vermont, drop south to Beverly Boulevard and ride it west to San Vicente; the Cedars-Sinai Medical Towers at 8635 W 3rd St, Suite 880W are one block on. About 30 minutes midday, and the 101 to Highland works as a backup when Beverly clogs.
Consultations and surgery both happen at the Towers, with validated parking. Nearly all follow-up is photo based, which suits an eastside-to-westside relationship nicely.
Open in Google Maps →The Los Feliz List
Hiking is my sanity. How long am I off the trails?
Walking trails like Fern Dell within the first week; the steeper Griffith summit routes at about three weeks, once the closure has fully knit.
Can I bike to work in Hollywood afterward?
Give the saddle about three weeks. After that, cycling is unrestricted; the off-midline repair tolerates it permanently.
Is this related to sitting on old theater seats, hot yoga, or anything I did?
No. Pilonidal disease comes down to anatomy, hair, and friction. Nothing you did caused it, and no habit change alone will cure it.
Do I need a referral from my primary doctor?
No referral is needed for a consultation. If your plan requires one for coverage, our staff will flag it during insurance verification.
What does it cost with a typical PPO?
It varies by plan, which is why we verify benefits before you book. You will have real numbers, not estimates, before committing to surgery.
Solve It Before Another Season Passes
The observatory will keep its view. Your calendar can lose the flare-ups. One outpatient procedure is the whole ask.
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