Which is better for ganglion cyst. surgery or aspiration?

Ganglion cyst: Try aspiration first with injection of kenalog, (triamcinolone) use surgery as a last resort.

Surgery is Best: There are not many problems associated with the wrists short of bony abnormalities. One common problem that can occur at the level of the wrists or coming from any joint is called a ganglion cyst. Ganglion cysts are not usually associated with much pain or discomfort until they become large. They extends from the joint space. It's, like blowing up a tiny balloon from between your knuckles. These often bust when a person bumps them. They will reoccur unless they are surgically tied off. I suggest you see an orthopedic surgeon to further assess and evaluate.