Hi, I'm a 22 year old (otherwise) healthy south Asian male, and according to THIS thread, apparently the only registered person from my country on this forum . I've had a pilonidal cyst for over a year now. Because of negligence and somewhat ignorance, I've been avoiding confrontation with this medical issue - I made do by considering the sinus fluid draining as some sort weird male-period that I just have to deal with. During this period of almost 15 months, I saw dermatologist only 3 times. The first two time he refused to call it a pilonidal sinus. The next time, he changed his mind and prescribed hip bath and ointment treatment. And finally, a couple of days ago, he worryingly uttered that I should consult a surgeon. So I did - today. After a prolong period of uncomfortable proctoscopy, my surgeon doctor broke the news - not with as much confidence as you would expect from your doctor. "You have a rare case of having pilonidal sinus with fistula in ano low variety transsphincteric" - his words. Aside from the three openings, starting from the tailbone region to the last one adjacent to the anus, I also have a mildly soar cyst sitting above all, like a crown. His next words made me even more nervous - apparently the surgical procedures for these two diseases are completely different and there's a 25% chance of it not working out. I currently have been prescribed antibiotics, hip bath (with Povidone-Iodine Topical Solution USP) and ointment (10gm Mupirocin 2%). I plan to go under the knife on Saturday (March 1st). Wish me well. What I worry more is about post-surgery. Being a college student and graphics designer by profession, I am under constant stress sitting in front of the computer; I cannot afford to be on a long medical leave. Have you had any similar experiences? I would be very comforting to know I'm not the only one out here.