Dear Doctor, My wife has constant pain in the right wrist. One doctor suggested that it was because of a ganglion which needs to be operated. The ultrasound scan of the right wrist says - "there is a cystic nodule measuring about 11/10 mm along the dorsum of the wrist. It is located along the dorsal surface of the lunate and capitate bones. It is beeking into the intracarpel joint between the lunate and capitate bones. It has well defined walls> its contents appeared clear without septations. The tendons and the nerves in the carpal tunnel appeared normal." Please advise whether surgery is the only option, if yes, should it be done immediately.