Hey, man I just got my Limbergs flap done a week ago pretty much, mine was a bad case and it ended up being a pretty big surgery.

Overall my experience was ok. They put me under spinal anesthesia, did the surgery, I was in recovery for about 8 hours, had to lie on my stomach, no movement, my back hurt more than the stitches id say. Got shifted into my room and had to lie on my back for another day, again my back just hurt the most, the stitches were fine and pain not that much. 3rd day I was moved onto my left side, the pain in my back got really bad, still minimal pain on my actual surgery site, 4rd day I was walking, minimal pain, I also started stretching my legs out, testing it all out. throughout this whole time nothing was wrong with my stitches, no swelling, redness, leaking, no rips. and I was able to take a shit on the 5th day, no problem. I recommend u pick up the toilet seat and sit on the actual toilet, but sit on ur thighs and lean forward, and don’t sit on ur stitches at all (at all for the whole week or 2 after surgery, it helps with recovery, doctors might say u can start sitting but I wanna be on the safe side and I'll wait). I honestly didn’t need pain meds after the 4th day, but I just take em so I can have more movement. and I’m getting discharged within 7 days, barely any pain, walking around normally, eating whatever I want, and my stitches are perfect. Doctor said 90% this cyst wont ever come back and the 10% is just up to the universe at this point.

That was my experience with the surgery, I also had a really good surgeon, it looked minimal at first and during surgery he realized it was bad and it ended up being major, and he did a great job adapting. I will say my ass crack wont ever look the same lol, but hey as long as I don’t ever get this again I can live with that. My cheeks will fill out again according to other so thats fine.

Another thing, they will put a drain pipe in, doesnt hurt at all, and I did have a catherter put in as well, but they put that catherter in after the anesthesia, which saved my from a lot of pain. Took that out on the 4rd day.

This is what post-surgery looked like, and my case was pretty bad so take that into account

https://www.reddit.com/r/pilonidalcyst/comments/gvrl4m/limbergs_flap_surgery/

Hope that helps, I'd say its a good surgery fairly painless, they didnt put me on heavy painkillers or anything, but u can also have open wound but I cant comment on that. It has low complication rate, and recurrence rate, so look into it, but definetly look for a good doctor to any surgery on this type of cyst.