Fourteen patients, all female, who underwent coccygectomy for coccygodynia resistant to conservative treatment, were reviewed after a mean follow-up period of 30 months; 5 had a very good result and 7 had a good result. No re-operations were performed. Coccygodynia can be a real problem in women and total coccygectomy is an acceptable operation for coccygodynia not responding to conservative treatment.