Hello my name is Dustin. I'm 21 years old and had my first Pilonidal experience 2 years ago and it's back. To make it short around this time 2 years ago I rushed to the ER to have my Pilonidal cyst lanced. It was so painful I had to be sedated by an IV. It's back and the pain is pretty bad. I suppose I'm going to get it lanced again. Now that's it's a recurring thing I know I need surgery. I haven't heard great things about Open surgeries but I've heard good things about the cleft surgery. Any advice would be very appreciated. This thing literally is Satan himself.