Hey everyone, I made a few posts on here a couple months back asking about the cleft lift. After jumping through hoops with kaiser, I got an appointment with the chair of the general surgery department who claimed and seemed to be knowledgeable about the disease and the bascom cleft lift. I've had my pilonidal disease for a long time, first 5 years ago at which point I had an open excision surgery that failed and resulted in 6-8 months of packing. The disease flared up again almost a year ago, and its only been getting worse ever since. I currently have two pilonidal sinuses, one at the very top of my cleft and one that is about 2-3 inches below the other or so(maybe halfway between the first sinus and my anus, a bit more?). I also have a recurrent cyst that keeps popping up on the right side of the top of my cleft(no matter how many times it runs it course it just comes back, luckily they aren't too bad). The sinuses drain constantly, even placing a gauze pad doesn't manage to stop all of it. It dries and is painful, the sinuses hurt and itch constantly...it's terrible. My surgeon says that I am not a good candidate for the cleft lift simply because my sinuses are too far apart. The wound will not seal properly, and the procedure will be ineffective.She also drew me some kind of diagram explaining that there is an infection looking to escape, so it makes these canals which lead to the sinuses, and that somehow the cleft lift wouldn't get it all? She says that another open excision is my only choice, and that my recovery will take about 6 months. I am 19 years old, and about to go into my second semester of college. I really, really, REALLY dont want to go through months of painful and uncomfortable packing at this point in my life, but I can't live like this anymore. I scheduled the open excision for 1/29/2016, and didn't even hesitate because at this point I believe an open wound will still be an improvement over what I am living with now. Is she right, or full of shit? Am I really completely ineligible for the cleft lift just because of where they are located? I am going to send some pictures to Dr. Bascom either tonight or tomorrow and get his opinion, but any advice you guys could offer would be great. Thank you!