Ganglion Cyst on Foot

I have a 1-inch ganglion cyst on my right foot. I've had an X-ray, attempted needle aspiration, and an MRI. It causes periodic burning pain in my foot/ankle. I'm hesitant to have surgery. Any harm in just letting it be?

Theoretically, if your pain is intermittent, the aspiration pathology report was negative, your MRI showed that no important structures are being impinged, and you are being seen for frequent follow-ups, I think your plan to "let it be" is reasonable.