For years I had a strange lump that would come and go after a couple days. Recently, in October 2015, I went on a 13 mile bike ride. 1 week later this strange lump came back. Only this time, it didn't go away as usual. It grew bigger and became so painful I could not walk or sleep on my side. I was miserable. One day it erupted and had such a foul smell. I went to the ER and they opened it up (lanced) and drained it. Unlike most cases, I do not have accessive hair. My abscess didn't even have hair in it. The lancing was very painful and I had learned that I had a Pilonidal abscess. I was packed and sent home and followed up with my surgeon two days later. He removed the packing and did not repack it. I was freaked out that maybe it would close on top while the drainage was still trying to empty and I was afraid it would abscess again. It did not. My incision from the lancing closed in two weeks. He told me to come back in a month and he'll look and decide on surgery. All cases are different. Some pinolidal issues are chronic and some agent. For me, my surgeon knew I'd be okay. The abscess didn't come back and the cyst was in sleeping state. He checked me out, there was some tenderness. He scheduled me for surgery to remove the cyst. Surgery was so easy. I had a closed excision. Stitches never got infected. (I cleaned them everyday GENTLY with cetephil antibacterial soap and pat dry and kept it covered). Nor did I develop seroma. And I did not have a drain post op. In fact I had zero post op pain. After a couple weeks after the surgery, I did begin to feel shooting pains, but that was just nerves healing. He took the stitches out and my incision never re opened. I say all of this to let someone out there know there are successes out there with these Pilonidal cysts. I advise you to not read every little thing and think your case will be the same. I was blessed with a great surgeon who dealt with these before. So your research with educating yourself about the Pilonidal cyst. Know the difference between the cyst and the abscess. Learn about post op nutrition. Eating eggs, oranges, red meat, drink lots of water to help your incision healing. If anyone has any questions please feel free to ask!!!