 The article presents guidelines for optimal hydrodonitis operativa, HS, wound care dressing use based on a tear system and ideal characteristics of HS dressings, with the aim of improving patients' quality of life while considering cost-effectiveness and ease of accessibility. Silver impregnated foam is considered the most optimal HS wound care dressing due to its nearly all characteristics of an ideal wound care dressing, but it is expensive and difficult to access for patients, so lower tear dressings must be considered first.