What treats pilonidal cyst?

Surgery. The only treatment for pilonidal disease is surgery. There are numerous surgeries offered for this. Ultimately, it will be what your surgeon is most comfortable with and has done most often.
Shaving, surgery. Uncomplicated cysts can often be managed with shaving the area. Dislodged hairs that work into the cyst cause the infection. Of course, some folks who aren't hairy have pilonidal cysts. If local swelling and pain occurs, infection is likely. Antibiotics can often treat the acute symptoms unless there is a frank abscess- that needs drainage. Recurrent symptoms usually require resection of the cyst.
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.
Hair removal. Pilonidal cyst is actually a misnomer. It is best called pilonidal disease. It is due to ingrown hair in the inter gluteal crease. The treatment is two fold. A surgeon needs to remove the chronically inflamed tissue that is beneath the skin either by an open or closed technique, followed by lifelong hair control at the source. Methods include laser removal, shaving, and depilatories.

Related Questions

How to treat a pilonidal cyst?

Depends on severity. A pilonidal cyst is a cyst or abscess near or on the upper portion of the cleft of the buttocks that often contains hair and/or dead skin. Treatment may include antibiotic therapy, hot compresses and sitz baths. In more severe cases, the cyst/abscess may need to be opened or surgically removed.
Surgery. The only treatment for pilonidal disease is surgery. There are numerous surgeries offered for this. Ultimately, it will be what your surgeon is most comfortable with and has done most often.
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.

What specialty can help treat pilonidal cyst? Is drainage/packing painful/necessary? How long does it take to recover, i.E sit on chair, etc?

A surgeon. Can remove the cyst in many cases. Any doctor can i;d it.
General surgeon. A pilonidal cyst is usually treated by a general surgeon. If there is a major infection, drainage and packing may be necessary but a full excision with primary closure is often required to completely solve the problem. After drainage, the pain is usually relieved enough immediately to allow sitting. After excision and closure, it may be 2 or 3 weeks before sitting is comfortable.
A General Surgeon. General surgeons treat most pilonidal cysts, especially complicated or recurrent cases. The treatment will depend on the size of your cyst, but complete excision is key to cure. Recovery is one to three weeks, but depends on the details of your case.
General Surgery. Generally treats a pilonidal cyst. It is numbed up well before drained or packed. Sometimes done under general anesthesia so you feel nothing. The problem with simple drainage and packing is that they come back. Better to get the job done right the first time. Then it really does not hurt much and once stitches are out in about 2 weeks you are basically home free with no more pain.

What can I do about my pilonidal cyst?

See a surgeon. Medical treatment with antibiotics & soaking in warm bath water may help temporarily. See a surgeon if you need an infection drained or if a surgical procedure to remove the pilonidal region is indicated for you.
Surgery. There are numerous surgeries available. See a surgeon to discuss options.