Hi everyone. I'm a 24-year-old guy who might have a big problem looming, and I'm so anxious about it. For the past year or so, I've been dealing with what appears to be a large pilonidal sinus. It's a slit at the top of my butt-crack. It looks kind of like my ass crack just stretched apart, as though someone grabbed my butt cheeks and pulled until a seam opened in my gluteal cleft. Sorry for that mental image but it's all that I could think of. There doesn't appear to be any sort of cyst or swelling, at least not yet, and it drains fairly regularly. Sometimes the sinus gets very itchy. Occasionally, it goes through a phase where it drains very little, and I start getting a dull pain in my lower back. It feels like it's deep below where the cyst is. It's very worrying, especially since I have anxiety disorder, and I'm a terrible hypochondriac who fears for the worst case scenario in every situation. Right now, I can't stop worrying that it will get worse and worse to the point where the pain is worse than childbirth - which is something I've read on these forums. I have a very low tolerance for pain - the dull pain I'm feeling now drives me to nearly panic at times! To boot, I have a very important trip in 12 days. I'm going to Disneyland with my significant other and I plan on proposing to her. Everything is already booked solid. I hope I can make it to the trip, and survive its five day duration, without falling into that worst-case scenario and ruining the whole vacation. Up until yesterday, I wasn't worried for my trip because I thought 17 days wasn't a long enough time for it to escalate to a point where the pain would be debilitating, but now I've seen several threads where people have gone from painless to completely disabled from the pain in less than a week. From what I've read and seen on the interwebs, I don't have a 'classic case' of Pilonidal Disease. It seems most people develop one small pit that doesn't drain very much, and then a bump begins to swell on their tailbone, and the terrible pain comes with it. I don't have a bump, nor any intense pain, but I have had this gash in my butt-crack for months now. I do want to get surgery for it ASAP after the trip, even though I hear it often doesn't work and followup procedures are necessary. I figure it's just plain unnatural to have a second big hole in my bum, so I should do something about it even though the recovery will be rough. I'm wondering if anyone has any experience with a large sinus opening that drains on its own, and also if anyone has any advice on what I can do to improve my odds of making it through the next 17 days. I'm taking two warm baths every day, which feel great because my discomfort vanishes as long as I'm in the warm water, but unfortunately returns as soon as I get out. I'm also putting Neosporin on the area and powdering my butt with Gold Bond to keep it dry. I often get sweaty, since I'm 220 pounds, hairy, spend a lot of time sitting at the computer, and live in a hot climate where the temperatures in the summer can exceed 95 degrees Fahrenheit. Thank you so much for your time!