Ischiogluteal bursitis is a cause of buttock pain. Patients, who have ischiogluteal bursitis, usually have painful swelling over the center of the buttock and down the back of the leg. Ischiogluteal bursitis is frequently confused with many other causes of lower extremity buttock pain because of its anatomical characteristics. Generally, conservative treatment for ischiogloteal bursitis is usually sufficient. However, some severe cases with chronic painful ischiogluteal bursitis necessitates surgical treatment. Few reports describe the surgical treatment for this condition. The authors report 3 cases of chronic ischiogluteal bursitis who were successfully treated with surgical bursectomy.