 [ Symptoms ] how can i do kegel exercises during pregnancy [ Disease ] if going to an er is not a financial issue i am sure that you can get care for your pilonidal cyst there is no way to know if there is a colorectal surgeon waiting around to take care of you however but many er physicians and other primary care medical providers can handle this sort of thing as you probably know pilonidal cysts do become infected from time to time so perhaps you should consider a more definitive surgical procedure and have the entire cyst removed no more problems after that surgery