I wanted to ask what do i do about a boil its in my buttucocks resurface high tempature just can't sleep at night pain i don't want surgery not again?

Boils: Antibiotics are often used to eliminate any accompanying bacterial infection, especially if there is an infection of the surrounding skin. However, antibiotics are not needed in every situation. In fact, antibiotics have difficulty penetrating the outer wall of an abscess well and often will not cure an abscess without additional surgical drainage.

Pilonidal Cyst?: I suggest you see the surgeon back to find out what your risks are if you don't have surgery & what other treatment options are available.