Oh yes, I have dealt with them as well. I won't tell you my horror story in it's entirety becuase other health issues came up as well that are not likely to come up in others.
I had several that bothered me on and off. I took massive amounts of antibiotics to clear them up each time. Slept on heating pads, took pain meds, laid on my belly for days, etc. I finally had time in my life to get the surgery. The most common and most lasting removal method is through leaving the wound open to heal from the inside out. The vast majority of those surgeries that aren't done this way result in reoccurance. My surgeon and 3 other docs I saw over the years all heavily recommended this method.
The surgery went fine, the healing process was hell on earth BUT mine was complicated. Many many people heal within 6 weeks and are on their way never to have another problem. You take it easy for 6 weeks, you pack the wound every day (find someone you love dearly for this job!) and it heals up without a problem.
Mine had issues and we ended up having to reopen it surgically 6 months later. It gets more complicated from there as I developed Crohns and a fistula grew into the wound. Once my Crohns was dx and treated, it healed. 1 year later.
A GREAT website that I spent a lot of time on (message boards, esp) is
www.pilonidal.org - lots of great info. I can give tips to healing methods, products that worked, etc if you opt for the surgery.
As far as dealing with them infected, rest-antibiotics-etc are all I was able to do.
THey do run in my family =(