Hidradenitis suppurativa (HS) remains one of the most challenging conditions in dermatology—not just clinically, but in its profound impact on patients’ physical, emotional, and social well-being. Curtis Chen, PA-C shared practical strategies for improving care, including how to navigate tough conversations around weight loss, fertility, and the often-asked question of whether HS can be cured. He also showcased impressive clinical outcomes using deroofing, offering both hope and real-world clinical insight.