Hi- Welcome to these forums! One other resource that helped me- Pilonidal Support Alliance: Information & Support for Pilonidal Cyst Suffers and their Families

I was able to find a really great surgeon from the website. It's a frustrating medical condition to have to deal with, and there is a lot of great support on that website.

Sorry to hear about the insomnia. I imagine that you're not too comfortable right now. Make sure you keep your p-doc posted on your sleep habits- there should be some options that will help you get some rest.

In the early phases of BP treatment- I'd recommend trying to eliminate as many decisions as possible from your life. Try to keep yourself on a regimented schedule- adjusting to medicine is hard- and the more predictable you can keep things- the better it will be while you bridge the gap between your medicine becoming truly effective.

Keep posting if you need anything. There's a lot of great people on these boards.