Dr. Hector Roldan, MD, FRCS, FACS, SAGES, (PI), Dr. Nastasia Wasilewski, BSc., MSc., MD PGY3, and Lisa Allen, PhD. In this study, patient outcomes for surgical treatment of pilonidal cyst will be analyzed to determine if any one approach offers better results. Outcomes of interest include pain management, post-operative care, and follow-up, homecare required, surgical site infection etc. This is a two year study.