BACKGROUND: Coccygodynia is a notoriously difficult condition to manage. Spinal cord stimulation (SCS) may be a promising therapeutic option for those suffering from chronic coccygeal pain. To our knowledge, there are limited reports of using SCS to target the sacral region for the treatment of intractable coccygodynia. CASE REPORT: A 50-year-old woman with refractory coccygodynia underwent permanent implantation of an SCS device following a successful SCS trial. SCS leads were inserted using a retrograde approach to target S2-S4 bilaterally. During follow-up, the patient reported > 90% improvement of coccygeal pain and her selfreported quality of life dramatically improved. CONCLUSION: This case report describes the successful use of the sacral region as a target for SCS in the management of intractable coccygodynia. SCS may be considered an effective treatment option when all other conventional methods have failed. KEY WORDS: Coccygodynia, neuromodulation, sacral nerve stimulation, spinal cord stimulation