Are there any alternative pilonidal cyst treatment?

Yes: First it depends on what the initial treatment is so ou can determine the alternatives. Most pilonidal cysts are treated by surgical removal. If you desire other therapy, choices are limited. If you only get infections very infrequently, then you may want to not have surgery. Whether to proceed iwth surgery is based on your quality of life. Warm soaks and good hygiene may help avoid infection.

Yes: There are numerous different operations available for pilonidal cyst treatment. All of them very different. Speak with your surgeon about the different treatment modalities.

Infected?: Abx will NOT cure a pilonidal cyst. They can help clear the infection and surrounding cellulitis that can occur when the cyst becomes infected. .... but not the cyst itself. The cyst needs to be removed if bothering you. If not bothering you can be safely watched.