Hello, I have almost a cure for a Pilonidal cyst. The reason I say almost is it will come back in usually about 10 months to a year, and then you will need to repeat the steps again. I came across it from another person who has suffered from this health problem and has been through many surgeries with no help. I myself have been through one surgery in which the cyst came back a year later. The cure is to put cayenne pepper mixed with water in the sinus opening of the cyst for 3-4 days straight using an eye dropper with a narrow end. The solution should be 1 heaping teaspoon of pepper in a cup of water used over the 3-4 day period. This does sting quite a bit for the first minute or two after the pepper is injected but subsides afterwards. Note: you will probably need someone to do it for you to really get the solution in the sinus. I've read this works because the sting of the pepper brings a rush of white blood cells to the area, not sure if that is true or not, but it worked for me. Of course check with your doctor before doing anything. I'd also be interested if anyone else has found other ways to deal with this issue.