I've had Hidadentis Suppurativa since I was 17. Closing in on 35 years. I've managed it well, though I have it in ALL the usual places where skin touches skin. It's stayed Stage 1 mainly, though stage 2 in a few places. I've had more I&Ds than fingers and toes to count. A few excisions over the years. And an acquired allergy to penicillins from just taking so much. SO, a festering lump on my ass was no biggie. It came. It went. It drained. It flared. It hurt like hell. Nothing new to me. But over the last year, it made a second drainage hole. And I have never got it to drain fully since or go into remission. The abscess is just above my cleft to left. The secondary drainage hole is just inside the crack of my butt cheeks, but not the "ditch". My doctors can't decide if it's HS or pilonidal. Surgeon I saw last week, kept changing his mind during the exam! "HS. No, maybe pilonidal. It's doesn't matter. It coming out all the same way" Well, yes and no! Lots of similarities, especially with sinus formation. But surgery techniques sound very different. We schedule a excision with primary closure for next month. But now, after reading here. I'm worried! I can't be out of work for 6 weeks. And no way could I care for open healing living alone. (my spouse passed away.) I feel like canceling the surgery and just living with it. Then the rational part of my mind chimes in and tells myself to just insist on primary closure. I know there is a chance of reoccurrence if it's pilonidal, but reoccurrence is something HS patients face every time we are under the knife. Basically, I'm anxious. Confused. And worried about aftercare living alone. Any words of wisdom will be appreciated.