What Doctor treats a Pilonidal Cyst?

Dealing with a pilonidal cyst can be uncomfortable and concerning, but knowing which healthcare provider to consult for evaluation and treatment is crucial for effective management. In this article, we’ll explore the various healthcare professionals who are involved in the diagnosis and treatment of pilonidal cysts, along with their roles and expertise in managing this condition.

Primary Care Physicians

Primary care physicians, including family doctors, internists, and nurse practitioners, often serve as the first point of contact for individuals seeking medical attention for pilonidal cysts. These healthcare providers are trained to evaluate symptoms, perform physical examinations, and initiate initial management strategies such as pain relief and antibiotics if necessary.

However, for complex cases or when surgical intervention is needed, primary care physicians may refer patients to specialists for further evaluation and treatment.


While dermatologists primarily focus on diagnosing and treating skin conditions, they may also play a role in managing certain aspects of pilonidal disease. However, it’s important to note that dermatologists typically do not perform surgical procedures for pilonidal cysts. Instead, they may provide supportive care, such as prescribing medications to manage inflammation or infection, or offer guidance on wound care and hygiene practices.

While dermatologists can contribute to the overall management of pilonidal cysts, individuals requiring surgical intervention will typically be referred to a general or colorectal surgeon for definitive treatment.

General Surgeons

General surgeons play a crucial role in the surgical management of pilonidal cysts. These specialists have expertise in performing procedures such as incision and drainage, complete excision, and flap-based reconstructions.

While general surgeons have the expertise, they may lack specialized knowledge of pilonidal cysts, which is critical to effectively address them.

Colorectal Surgeons

Colorectal surgeons, also known as proctologists, are specialists who focus on conditions affecting the colon, rectum, and anus. Given their expertise in managing diseases of the anal and perianal region, colorectal surgeons are well-equipped to address complex cases of pilonidal disease.

With advanced training in surgical techniques and a thorough understanding of the anatomy and physiology of the pelvic floor, colorectal surgeons can offer specialized care for individuals with recurrent or severe pilonidal cysts. According to recent statistics, approximately 25% of pilonidal cyst cases require surgical intervention, highlighting the importance of collaboration with general surgeons in managing this condition.

Which doctor should you see for your pilonidal cyst?

For effective management and treatment of a pilonidal cyst, it is recommended that patients seek evaluation and care from a healthcare provider with expertise in managing this condition.

While primary care physicians can initiate initial management strategies and provide referrals, individuals with pilonidal cysts may benefit from consulting with a colorectal specialist. These specialists have advanced training and experience in diagnosing and treating pilonidal disease, including performing surgical procedures such as incision and drainage, complete excision, and flap-based reconstructions when necessary.

By seeking care from a colorectal surgeon specializing in pilonidal cysts, patients can receive personalized treatment plans tailored to their specific needs, leading to improved outcomes and quality of life.

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