I had my first pilonidal in my early 20's - I thought I was going to get away with just the one but here I am sat on the floor on one cheek, 2 days after my 45th birthday.... I now run my own business and have 2 very young children and am struggling not to be concerned over what may happen this time. My first pilonidal ended up in deep surgery, sorry to be graphic but I was up to my knuckles reaching into a wound to get the packing which at first was a length of bandage about 2 metres long! It took 12 weeks to heal and about 2 years before I was comfortable and starting to forget about it... although even to this day though I can't 'roll' from one cheek to another without a deep aching pain. I am desperately hoping that 25 years on there may be an alternative to the procedure I had back then - basically the removal of a big chunk of tissue... I have read here about the conservative treatment methods- dare I hope that there is a way to cure my condition this time without the trauma... One final thing... I am currently taking antibiotics to reduce the infection while I wait for my appointment with a consultant, I have a family holiday booked in three weeks time which includes a five hour drive - what can I do to help manage my condition through this period. I know I'm heading for the surgeons knife again but I don't want my family to have to suffer a cancelled holiday too... Any advice or shared experience would be most welcome... My own offering of advice: several weeks ago my office chair malfunctioned slightly... just enough to tilt me forward a few inches.. I persevered with it for a few weeks before realising it was placing a lot of uncomfortable pressure on my coccyx area. I really believe that this was the cause of my flare up. I have since spent several hundred pounds (of company money) on a new chair - obviously too late. My advice then is also obvious and confirms the advice on this website: if you spend a lot of time sitting down make sure you are sitting correctly and protect that tailbone... Quite a ramble for my first post, good luck to all my fellow sufferers..