Pilar cyst removal. Should I visit family doctor first or a dermatologist/plastic surgeon?

A real surgeon would be a board certified plastic surgeon - that is all he does.The least trained would be a plastic surgeonA dermatologist may or may not have experience in surgery.Not removing the entire cyst will most likely result in recurrence - go with the best, a plastic surgeon

Hello and thank you for your question. If the cyst causes you discomfort you can have it removed and insurance should cover for it. You can consider seeing a surgeon or a dermatologist for the procedure. It will be better if you get a referral from your primary care provider to see a specialist. If you want to pay out of pocket then you can see a surgeon directly without a referral. 

Removal of a pilar cyst should be a routine procedure for most board-certified dermatologists.  We often can removal the lesion leaving a smaller scar.