Should She Have Coccyx Removed?

I had someone email me today who is considering coccyx surgery.

Here are the specifics:

1. Can not miss more than 4 weeks of work, or job will be in jeopardy. Job requires sitting all day.
2. A previous injection provided some temporary relief.
3. MRI shows a bone spur, arthritis, and an extra long tailbone.
4. Surgeon says patient will have a two week recovery after the simple procedure to remove the tip of the coccyx.

My recommendation was to get a second opinion and not to proceed with a coccygectomy at this time.

If a previous injection resulted in some relief, additional injections or nerve ablation might provide additional relief.

A coccygectomy should be a last resort and only after injections have failed.

I am not a doctor, but I do know that I could not sit all day until approximately 8 weeks after the surgery. And given the fact that infection is one of the most common complications of this surgery, a two werk recovery seems so unlikely.

This patient has given permission to post this, and I would like to get recommendations from other readers of this blog.

What do you think? Should this patient have their tailbone removed knowing that they could lose their job if out of work more than 4 weeks?