Introduction: Coccyx bone serves as one leg of the tripod that supports a person's weight when they are seated, together with the ischial tuberosities. In addition, several muscles, ligaments, and tendons attach to it. Aim of work: complete relief of tailbone pain. Methods: Conservative and surgical. Results: Excellent outcome was achieved in n = 20 (66.7percent), Good n= 7(23.3%), Fair n=2 (6.7%), and Poor n=1 (3.3%). Conclusion: Surgical coccygectomy provides excellent outcomes, especially in traumatic fracture coccex, chronic diabetic patients, isolated sacrococcygeal metastasis, dermoid cysts, and tail of cysts.