I have been dealing with pilonidal disease for around an year and trying to avoid surgery. But whenever it is inflamed (gets inflammation) it starts to pain, get blood out, I get mild fever, body aches ad tiredness. Should I get it surgically removed? Also, if has to be removed, how to make sure it will not come back? In addition, is it possible to get pain and fever when it is inflamed? Fyi, I have shown the area to two different surgeons and both confirmed that it is pilonidal sinus.