Pilonidal Sinus Surgery in Pune
Day-care laser with faster wound healing. A laser approach with same-day discharge and a typical recovery of 3–5 days. But surgery is the last step, not the first — start with a proctologist and rule out the simpler fixes.
How it works
You don't buy an operation here — you start with a doctor. Book a consultation first; Pilonidal Sinus surgery happens only if a proctologist confirms you need it.
About pilonidal sinus disease
Pilonidal sinus disease affects the natal cleft, the groove between the buttocks just above the tailbone. Loose hair is driven point-first into the skin, forming a pit that deepens into a cavity and then into infected tracks, often with several midline pits. It typically starts in young adults, more often men, and is associated with a deep cleft, coarse hair, prolonged sitting and local friction. Despite where it sits, it is a disease of the skin over the tailbone and has nothing to do with the anus — which is why it is so often mistaken for a fistula.
When is surgery actually needed?
Pits found by chance with no symptoms need nothing more than hygiene and hair control. An acute abscess is drained first and definitive surgery is deferred until the infection has settled — operating through active sepsis is how recurrence is guaranteed. The conservative measures here are not token: regular removal of hair from the cleft by shaving or laser depilation, keeping the area dry, and weight control genuinely reduce recurrence and are advised whether or not you have surgery. Surgery is for recurrent, discharging or established chronic disease. The goal of every technique is to clear the tracks while avoiding a midline wound, because midline wounds in the cleft heal badly.
Why laser, not open surgery
Laser ablation of the sinus (SiLaC) works through the existing pits: the tracks are cleared of hair and debris, then a radial laser fibre is drawn along each track, destroying its lining so it collapses and closes. There is no wide excision and no large open wound, nothing is left to pack for weeks, and — critically for this disease — no midline scar is created. It is repeatable if disease persists. The alternative philosophies either excise widely and leave the wound to heal open over weeks, or excise and close with a flap that moves the scar off the midline entirely.
Your options for pilonidal sinus disease
Non-surgical options are listed first where they exist. Which one suits you depends on your examination and reports — this table is here so you can ask better questions, not to choose for you.
Our proctologist surgeons
Dr. Imran Sheikh
Senior
Dr. Vivek Rao
Senior
Dr. Sanjay Kulkarni
SeniorDr. Arjun Menon
SeniorCost, EMI & insurance
Covered by insurance
Pilonidal Sinus surgery is covered by most health policies. We start cashless pre-authorisation before admission — you pay nothing extra at discharge.
Your recovery timeline
Week by week after pilonidal sinus surgery
Home the same day with a small dressing. Sitting is the uncomfortable part, not walking.
A cushion helps considerably. Dressing changes as taught; desk work commonly resumes in three to five days.
Discharge settles and dressings reduce. Avoid cycling and long drives.
Wound closed. Hair removal from the cleft begins or resumes — this is the part that determines the long-term result.
The window in which recurrence, if any, shows itself. Keep the cleft hair-free and dry throughout.
Risks, preparation & aftercare
Every operation carries risk. These are the complications your surgeon will take you through before you consent — they are listed here so you read them without a pen in your hand.
Possible complications of pilonidal sinus surgery
Before your procedure
Shave or clip the area as instructed. Fitness bloods and blood-sugar control. Stop smoking — nicotine is a major reason wounds in this area fail. Nothing to eat for 6 hours and clear fluids up to 2 hours before. Plan for a driver home and for a few days where sitting is limited; a ring or wedge cushion bought in advance is worth having.
After you go home
Keep the cleft dry and free of hair — laser depilation or regular shaving is the standard long-term advice, not an optional extra. Change the dressing daily as taught. Avoid prolonged sitting, cycling and long drives in the first fortnight. Report fever, spreading redness or fresh discharge. Attend review at two and six weeks.
Frequently asked questions
Start with a conversation, not a commitment.
Book a ₹750 consultation with a proctologist — adjusted into your surgery cost if you go ahead. No pressure, no surgery unless you need it.