Tailbone surgery can leave a scar. Tailbone fractures usually do not require surgery. Individual tailbone fractures that are significantly displaced or cannot be repositioned require surgery. This is an open procedure that can damage the skin and its deeper tissues and therefore leave a scar. Scars are skin repairs that look reddish in color, are slightly above the surface of the original skin, and are also harder than the surrounding skin. Just after surgical closure, fibroblasts deep in the wound become very active and they knit together into highly resilient collagen fibers that hold the broken tissue together. The epidermal cells of the skin proliferate and cover the surface of the wound, and the wound heals quickly. In the early stages of healing, the wound will feel painful and itchy, and over time, the pain and itchiness will gradually disappear, and the scar will change from red and hard to a light brown soft tissue, and flatter than before. Surgical incision scars are generally more neat, after a period of self-repair, the scars will gradually become lighter. If there is redness, swelling, heat and pain at the scar after surgery, it is recommended to go to the hospital in time for early and regular treatment.