Abstract
Coccydynia is persistent pain in the sacrococcygeal region caused by pressure on the coccyx lasting more than three months. It was treated conservatively and may mandate surgical management in the form of coccygectomy if the patient fails conservative treatment. Coccygectomy had been abandoned for a long time due to high complications. Recently, new techniques have been developed to overcome these complications. In this article, we present a case of a 41-year-old male with chronic coccydynia who did not respond to non-operative measures, and surgical management involving coccygectomy was performed with specific intraoperative and postoperative protocols. Further studies are needed to attract more researchers to investigate coccygectomy further.