I have had a pilonidal cyst for a few months, but didn't figure out what it was until recently. It isn't really a very serious one, it's fairly small. Still, it was quite a nuisance and painful at times. I went to my doctor, who said (without examining me) that these cyst always come back if you just lance them, and that I should have it removed. He gave me a regimen of antibiotics and scheduled me an appointment with a surgeon, who inspected the cyst (now noninfected and painless, due to the antibiotics), and scheduled me a surgery. He said they will remove the cyst, and leave the wound open, and I will have to pack it with saline-moistened gauze twice a day. He says the incision will probably be about an inch and a half. He said that this is the best surgery available for a pilonidal cyst, and that he expects me to heal in about six weeks. But since then, I have done a little Internet research, and it appears that the surgery he has scheduled for me is actually an outdated, poor surgery. It is a case of the cure being much worse than the problem. Instead of six weeks, the average healing time is eight to ten months, and sometimes the wound never closes at all. Not only that, it will not be a small incision as I was lead to believe, but a hole big enough to fit a golf-ball into. "Packing" does not mean just putting a small crease of the gauze into the incision, but the whole piece of gauze. Plus, there is a high rate of infection. It turns out, the only good surgery for a pilonidal cyst is called cleft lift surgery, but my surgeon doesn't even seem to know what that is, as he didn't mention it. However, I am on Medicaid, and he is the only surgeon I can get. Also, my Medicaid goes out when I turn 18, which is December 28, this year (only about a month away). The surgery is scheduled for November the 1st. So what should I do?