For a study, researchers sought to understand the outcomes of patients with chronic coccydynia surgery and see if any characteristics influenced the results. The number of patients included in studies evaluating outcomes and problems varied significantly. In their department, 184 patients underwent coccygectomy and were followed up with questionnaires after a minimum of 1 year. Any problems or reoperations were recorded and examined, and treatment results were compared to their preoperative state. The final follow-up was completed by 171 patients (93%). The total success rate was 71%, with patients reporting entirely well or much better at the final follow-up. In addition, 89% of the patients would have agreed to the procedure if they had known the outcome beforehand. Expanding the period of preventive postoperative antibiotics from 24 to 48 hours lowered the rate of postoperative infections from 10% to 2% (P=0.018). Coccygectomy appears to provide acceptable levels of success and excellent patient satisfaction for individuals who failed to respond to conservative therapy. Infection was the most common consequence following this procedure, and the risk could be lowered by taking antibiotics for 48 hours after surgery.