Hidradenitis Suppurativa Treatment Options: A Comprehensive Guide to Procedures

Hidradenitis Suppurativa (HS) demands a comprehensive treatment approach due to its chronic nature. Alongside medications and lifestyle changes, surgical interventions are vital for symptom control and complication prevention. The Canadian Hidradenitis Suppurativa Foundation offers educational resources on diverse hidradenitis suppurativa treatment options, empowering patients to make informed decisions about their care. Explore our resources for guidance on surgical interventions, enhancing the quality of life for those living with HS.

a woman talking to a doctor in a doctor's office.

In this article, we will delve into the world of surgical treatments for Hidradenitis Suppurativa, drawing upon the evidence-based resources and insights from the Canadian Hidradenitis Suppurativa Foundation’s eBook. We will explore different surgical techniques and procedures, their potential benefits and limitations, and considerations for patients embarking on this treatment path. Additionally, we will discuss the importance of post-surgical care, follow-up appointments, and ongoing communication with healthcare providers to ensure optimal recovery and management of HS.

By understanding the various surgical treatment options available for Hidradenitis Suppurativa and utilizing the comprehensive resources provided by the Canadian Hidradenitis Suppurativa Foundation, patients can make informed decisions in partnership with their healthcare providers. Armed with the knowledge and support necessary for successful surgical intervention, HS patients can better manage their symptoms, prevent complications, and improve their overall quality of life.

Common Surgical Techniques for Hidradenitis Suppurativa Treatment

  1. Overview:

Various surgical approaches for HS treatment range from minimally invasive procedures to more extensive operations depending on the severity, location, and extent of the condition.

  1. Procedures and Potential Benefits:

– Incision and drainage: A procedure often used for acute, painful abscesses that provides temporary relief but may not prevent recurrences

– Deroofing: Involves the removal of the “roof” of chronic, recurring lesions or sinus tracts to promote healing and prevent future complications

– Excision: Entails the surgical removal of affected tissue, including skin, glands, and sinus tracts, with varying degrees of depth and extent, depending on the severity of the condition

– Skin grafting and flap surgery: May be necessary for extensive excisions, involving the use of skin from other areas of the body to cover wounds and promote healing

Considering Surgical Intervention: Factors and Expectations

  1. Overview:

Deciding whether to undergo surgical treatment for HS requires careful consideration of various factors, including the severity of the condition, personal medical history, and potential risks and benefits.

  1. Strategies and Potential Benefits:

– Discuss your candidacy for specific surgical procedures with your healthcare provider, considering your symptoms, medical history, and overall health

– Understand the potential risks, benefits, limitations, and long-term implications of each surgical technique, including the success rates, post-operative care, and likelihood of recurrence

– Reflect on your personal expectations and goals in regard to surgical intervention, such as symptom relief, improved appearance, or increased mobility, while maintaining realistic expectations

Managing Post-Surgical Care and Recovery

  1. Overview:

Proper care and follow-up after surgical treatment for HS are essential for optimal healing, minimizing complications, and managing the condition in the long term.

  1. Strategies and Potential Benefits:

– Adhere to post-operative instructions and wound care guidance provided by your healthcare provider

– Attend necessary follow-up appointments to monitor the healing process, identify any complications, and discuss ongoing management strategies with your healthcare team

– Continue to implement lifestyle modifications and utilize appropriate medications, as advised by your healthcare provider, to support ongoing HS management and reduce the risk of recurrence

Navigating the Emotional Impact of Surgical Treatment

  1. Overview:

Surgical intervention for HS can be an emotional and challenging experience, making it essential to seek and utilize emotional support resources throughout the process.

  1. Strategies and Potential Benefits:

– Openly communicate with your healthcare providers, family, and friends about your feelings, concerns, and experiences related to HS and surgical treatment

– Seek support from HS patient communities, counselling services, or support groups to share experiences, obtain emotional encouragement, and learn from others with similar experiences

– Foster an empowering mindset by focusing on the potential benefits and long-term improvement that surgical interventions can bring to your overall quality of life


Surgical treatments for Hidradenitis Suppurativa offer potential relief and improved outcomes for many individuals living with this challenging condition. By understanding the various surgical options, considering personal factors and expectations, and adhering to post-operative care and follow-up directives, patients can maximize their chances for successful recovery and long-term management of HS. The Canadian Hidradenitis Suppurativa Foundation is a valuable resource for evidence-based guidance, support, and information on surgical treatments, helping patients make informed decisions in partnership with their healthcare providers.

Embrace the possibility of improved well-being and symptom management by exploring surgical treatment for Hidradenitis Suppurativa, and remember that you are not alone on this journey. Consult with your healthcare team, utilize resources provided by the Canadian Hidradenitis Suppurativa Foundation, and connect with fellow HS patients to find the strength, knowledge, and support necessary to pursue a life with greater comfort, confidence, and hope.