I've got two rips and a bulging disc in my spine and intense tailbone pain that prevents me from riding more than a few hours. I had another steroid injection in the tailbone this week and after a few days I've noticed perhaps a slight improvement. Hopeful it takes. I'm using a top gel pad with a cutout for the coccyx and it helps but it's not ideal. Buying a seat online is daunting because who knows if that is the right seat for you? I bought an aftermarket Saddlemen seat once and it was a huge improvement but they don't make seats for every (my current) bike. I could take my seat in to a custom seat guy this winter but assuming they aren't orthopedic surgeons or neurologists I'm not sure how to relay what I need to keep my ass in the saddle longer. I know this is not uncommon and would be interested to hear others seat wins and fails.