Hidradenitis suppurativa (HS), also referred to as Verneuil’s disease or acne inversa, derives its name from the Greek words hidros (sweat) and aden (glands).1 It is a chronic, scarring condition believed to result from the blockage of hair follicles, primarily affecting intertriginous and anogenital areas. While the axilla and groin are the most commonly affected regions, HS can also occur in the mammary and submammary areas, perineum, and sacral region. There is no standardized treatment, and in severe cases, extensive surgical excision followed by complex reconstructive procedures is necessary. One of the primary challenges post-excision is managing the resulting skin defects. While secondary healing may be an option, large defects require skin grafts or flaps to minimize scarring and accelerate recovery. When multiple anatomical regions are affected, staged surgical interventions may be required. Histopathology is gold standard for final diagnosis. Here we report a case of 27-year-old male with multiple abscesses over right axillary region diagnosed as Hidradenitis suppurativa.