When is surgery an appropriate treatment?

The decision to operate on those with HS depends on the condition of the affected areas. If there is an acute infection, the first step will be to address the infection with antibiotics as well as a first stage drainage. As the infection clears, a more definitive treatment will be necessary. In order to properly treat the HS in those areas, a wide excision needs to be performed to remove the disease bearing tissue followed by reconstruction using plastic surgery reconstructive techniques.