Pilonidal Sinus Treatment – Permanent Cure with Laser Surgery
Pilonidal sinus is a small tunnel or cyst in the skin, usually near the tailbone, that may become infected and filled with pus. Our advanced laser surgery offers a quick, painless, and permanent solution with minimal downtime.
Minimally Invasive
Advanced techniques with minimal pain
Modern Technology
State-of-the-art equipment
Expert Doctors
Specialized in treatment
Quick Recovery
Return to normal activities fast
Also Known As:
Book an Appointment
What is Pilonidal Sinus?
A pilonidal sinus is a small hole or tunnel in the skin, often at the top of the buttocks, which may fill with pus or fluid and become infected, forming a cyst or abscess. It is commonly caused by ingrown hair, friction, or prolonged sitting.

Trigger Foods to Avoid in a Diet
Oily and Fatty Foods
Increase skin oil production and worsen inflammation
Processed Foods
Lack fiber and promote sedentary lifestyle weight gain
Sugary Items
Can lead to bacterial overgrowth and infection
Low-Fiber Foods
Contribute to constipation, indirectly increasing strain
Excess Dairy
May lead to skin breakouts in sensitive individuals
Red Meat
Can contribute to inflammation and poor digestion
Symptoms for Pilonidal Sinus
Swelling or Lump
Near the tailbone that may be painful
Discharge
Pus or blood may ooze from the sinus
Pain while Sitting
Especially on hard surfaces or during prolonged periods
Fever
Indicates infection or abscess formation
Foul Smell
Due to pus discharge from infected sinus
Itching or Redness
Around the affected area
Common Causes of Pilonidal Sinus
Ingrown Hair
Hair grows back into the skin causing infection and abscess
Friction or Sweating
Common in people who sit for long hours
Poor Hygiene
Build-up of sweat, bacteria, or debris in the area
Tight Clothing
Causes excessive friction around the tailbone
Genetic Predisposition
Runs in families, especially those with coarse hair
Sedentary Lifestyle
Increases risk due to lack of movement
Risk Factors for Pilonidal Sinus
Male Gender
More common in men than women
Young Age (15-35)
Most common in this age group
Excess Body Hair
Increases chances of hair embedding into skin
Prolonged Sitting
Truck drivers, office workers at higher risk
Poor Hygiene
May increase bacterial growth and infection
Obesity
Causes more friction and sweating in the tailbone area
Complications if Pilonidal Sinus Left Untreated
Recurring Infections
Chronic sinus may develop with repeated abscesses
Abscess Formation
Painful collection of pus requiring drainage
Sinus Tract Formation
Abnormal channels under the skin
Cellulitis
Infection spreads to nearby skin layers
Scarring
Multiple surgeries or healing may lead to scar tissue
Rare Skin Cancer
Long-standing untreated sinus may develop carcinoma
Diagnosis
Diagnosis of pilonidal sinus is clinical, based on physical exam and patient history. In recurrent or complex cases, imaging may be used.
Diagnostic Methods
- Visual and physical examination of the tailbone area
- Assessment of pus or discharge
- MRI or Ultrasound for deep sinus tracts
- Differential diagnosis to rule out abscesses or cysts

Surgical Treatment Options
Our advanced surgical procedures provide effective, long-term relief
Laser Pilonidal Sinus Surgery
Minimally invasive laser treatment to remove infected tissue and seal sinus tracts
Recovery Time
2-5 days
Anesthesia
Local or spinal
Excision and Primary Closure
Traditional open surgery to remove sinus followed by stitching
Recovery Time
2-3 weeks
Anesthesia
Spinal or general
Bascom Cleft Lift Procedure
A flap surgery technique where the sinus is excised and the wound is closed off-center to reduce recurrence.
Recovery Time
1-2 weeks
Anesthesia
Spinal or general
Laser Pilonidal Sinus Surgery
Minimally invasive laser treatment to remove infected tissue and seal sinus tracts
Recovery Time
2-5 days
Anesthesia
Local or spinal
Excision and Primary Closure
Traditional open surgery to remove sinus followed by stitching
Recovery Time
2-3 weeks
Anesthesia
Spinal or general
Bascom Cleft Lift Procedure
A flap surgery technique where the sinus is excised and the wound is closed off-center to reduce recurrence.
Recovery Time
1-2 weeks
Anesthesia
Spinal or general
Preventive Measures
Antibiotics
Help control infection but do not cure the sinus itself
Sitz Baths
Reduce swelling and promote drainage of infected sinus
Hair Removal
Laser or shaving to prevent hair from entering sinus
Proper Hygiene
Keeping the area clean and dry to prevent recurrence
Pilonidal Sinus Types and Surgical Procedures
Simple Pilonidal Sinus
Description: Single tract with mild symptoms
Surgical Procedure: Laser treatment or minor excision is sufficient
Complex Pilonidal Disease
Description: Multiple tracts or recurrent infections
Surgical Procedure: Advanced surgical removal or laser ablation is needed
Acute Pilonidal Abscess
Description: Painful, pus-filled swelling requiring urgent care
Surgical Procedure: Incision and drainage followed by elective laser surgery
Chronic Pilonidal Sinus
Description: Persistent sinus with or without active infection
Surgical Procedure: Laser or excision based on tract complexity
Recurrent Pilonidal Sinus
Description: Sinus returns after previous surgery
Surgical Procedure: Laser revision surgery to minimize tissue damage
Why choose Total Surgicare for Pilonidal Sinus Surgery?
Latest Laser Technology for Fast Relief
We offer scarless laser surgery for pilonidal sinus with minimal pain, quick discharge, and high success rate.
Experienced Surgeons & Same-Day Discharge
Our specialists provide effective, personalized treatment with a focus on fast recovery and patient comfort.