Hello all, very nice to be here I'm super thankful that this exists as this is a very confusing and difficult condition. I just got open wound surgery on Tuesday (04/24/2012) so I thought I would join the community and share my ongoing experience. The first time that my pilonidal cyst made its appearance was when I was in senior year of high school so I was 17/18 years old. At the time, I was embarrassed about it and had no idea what it was; I hoped it would go away by itself but of course it didn't so by the time my mom took me to the emergency room it was infected and painful and they drained it right there, which was a horribly painful experience as the local anesthesia they applied did not take. Anyway, after that I basically lived with it for the next few years (I'm 24 now) and managed it using hot water, belladonna cream, and any other home remedies I could try (I even once put mashed garlic on it, which actually did help but wow did it smell). However, in the last two weeks I had a particularly nasty cyst, I couldn't even walk or stand up properly as it hurt so much. I went to the emergency room friday night (04/20), was given antibiotics and painkillers and told to go back on monday if it had not gone down by then. Come monday it hadn't gone down, so I went to emergency, they admitted me to the hospital and tuesday morning I was operated on. I knew what I was getting into as I had done my research (thank you pilonidal.org) so I opted for the open wound surgery (that was what the surgeon tod me he was going to do as well). Well, after the surgery I had a very large wound left. Right now it's about 8 cm deep or so, 5 cm wide. I'm at home already, and my mom is helping me with cleaning the wound, but as I am hands on (and I feel a lot less scared seeing what is happening) I've figured out how to clean it and pack it myself standing in front of my mirrors. Only thing I really need help with is the tape..Anyway, so that's basically it...I just have two small worries I was wondering if I could get some help with (if anyone is left reading after all my rambling!) 1. I bleed through the gauze normally, not that much but it always gets through the gauze and stains my undies a bit. That's normal right? 2. There is a white bump I can see inside the wound. It doesn't look like pus but I'm kind of worried about the color...honestly I have no idea really what it's supposed to look like...are bumps normal at all? Thanks for any help, glad to be here.