>>1359588I've had 3 epidermoid cysts before. 2 on my back and one on my neck. All of them were removed after they got infected.
If yours gets infected, removing it hurts less than the infection.
They numb you when they remove it. For the first cyst, I wasn't numbed very well, but it is still a relief to have it removed once infected.
I don't think I still have any scars from them, but the one where i was numbed the least the doctor was extra careful and it healed the fastest of the three. looking up pictures, pilonidal cysts look like they are a little bigger so you may get a small scar. idk.
I haven't tried anything in this comment, but they are options.
>>1359593>>1359599My dermatologist said they could either drain it or remove it. If you drain it, it will probably come back. If you remove it, it should be gone for good.