How often can a pilondal cyst reoccur?

Pilonidal cysts have a high rate of recurrence after surgical removal, with reported recurrence rates varying widely in the medical literature but generally range from 10% to 30%. Certain factors like incomplete removal of the entire tract or sinus, deep or complex nature of the cyst, poor wound healing, infection, obesity, or excessive hair in the affected area can increase the risk of recurrence.