Need advice on pilonidal cyst surgery

I got it summer after high school 18 y/o I had 3 surgery’s to remove mine(came back twice) doc said to scrub it hard to help stop it from growing back which was really hard cause that fucking hurt but is also hurt to walk after awhile each day luckily I was able to sit fain free a few days after the fist surgery but my back was in a lot of pain till I was able to sit/walk again. The other 2 surgeries they left the hole open and we packed/changed the gauze 3 times a day and I wore pads everyday finally felt like it was gone around age 25 it’s it’s a high traffic area so it’s hard to heal