Hidradenitis suppurativa (HS) is a painful and debilitating, chronic inflammatory disease affecting the skin bearing apocrine glands. HS causes painful abscesses and nodules that can eventually progress to interconnected sinus tracts, scarring, and contractures of the skin. There is no definitive cure for HS, but multiple treatment strategies are available to patients. Treatments range from meticulous hygiene of the affected area to wide surgical excision of all involved tissue. This case study discusses the pathophysiology of the disease, severity staging, treatment options, and a patient case.