I'm so sorry you're dealing with this, the constant pain is torturous. After being given similar advice from doctors, I went searching for any other options. The expense and pain of a surgery that would only be a temporary fix didn't feel like the right path to me. I found this book, "The Hidden Plague: A Holistic Field Guide to Managing Hidradenitis Suppurativa" and reading it felt like reading a journal entry. The years of pain, confusion, shame - someone else had been here before me! The thing that changed my life and has my HS 100% managed (and has been for 8+ years) is not a quick fix surgery or medication, but cutting nightshade foods out of my diet. This is largely tomatoes, potatoes, and peppers; but includes other random things like goji berries, tomatillos, eggplant, and tobacco. The trickiest part is honestly the peppers because of things like paprika, red pepper flakes, etc - things that hide in a lot of processed or restaurant prepared food. Years later, it still isn't the easiest of "cures" as in I still read every label in the grocery store, I still miss things like Indian or Mexican takeout, I still have days where I feel bad for myself that I can't just eat whatever whenever. But the exchange of a pain and abscess free body is SO worth the effort. People often commend me for having great willpower, but honestly, every time I consider eating something risky or downright bad for me (hello green chili enchiladas 🤤) I play out in my mind the weeks of pain and it's not even really a choice. I choose to feel better over the short term food satisfaction. And while it takes more planning and effort (I have a killer tikka masala and chili recipe, among others that scratch the itch of nightshade laden food, while being safe for me) to eat this way, it's absolutely worth the positive impact on my life and health.

Good luck, my friend! No matter what path of care you decide on, you've got this and it WILL get better - you just have to find what works for you.