Performed by Dr. Ravi Chandra Reddy Obili at Dr Ravi Chandra Reddy
Pilonidal sinus surgery removes an infected cavity or cyst that forms near the tailbone, typically containing hair and debris. The procedure cleans out the sinus tract and prevents recurrence. Dr Ravi Chandra Reddy performs this surgery to help patients who have not responded to conservative treatments and experience recurring infections or discomfort.
We believe in honest, upfront disclosure so you can make an informed decision.
A step-by-step look at what happens during this procedure.
Spinal or general anaesthesia is given so you feel no pain during the surgery.
An incision is made to remove the infected sinus tract, along with any hair, debris and unhealthy tissue.
The wound may be closed with stitches, left open to heal from the base, or managed with a flap technique depending on the extent and location.
A sterile dressing is applied to protect the wound and absorb any drainage.
You are monitored for a short time after the procedure and usually discharged the same day with wound care instructions.
A structured, patient-first approach from first consultation to full recovery.
Dr Ravi Chandra Reddy examines the pilonidal sinus, reviews your symptoms and discusses the most suitable surgical approach for your situation.
The infected sinus is carefully removed, and the appropriate wound closure or healing technique is chosen to reduce the chance of recurrence.
Clear instructions are provided for wound care, dressing changes and hygiene practices to support healing.
Regular follow-up visits allow monitoring of wound healing and early detection of any complications.
What to expect at each stage of your recovery journey.
Pain, swelling and drainage are common in the first week. Regular dressing changes and wound hygiene are essential. Avoid prolonged sitting and keep the area clean and dry.
By week two to three, pain decreases and wound edges begin to close. Light activities can resume, but heavy lifting and strenuous exercise should still be avoided.
Complete healing may take several weeks to months depending on the technique used. Hair removal and ongoing hygiene in the area help reduce the risk of recurrence. Individual recovery times vary.
Surgery aims to remove the infected sinus and reduce chronic pain and discharge. It does not guarantee that a new sinus will never form.
Wounds that are closed with stitches may heal faster, but open wounds may take longer and require more dressing changes. The choice depends on the size and location of the sinus.
Even after surgery, pilonidal sinuses can recur in some people. Ongoing hair removal, weight management and good hygiene help lower this risk.
Most people can resume daily activities within two to four weeks, though complete healing and return to vigorous activity may take longer.
The right choice depends on your diagnosis, risks and circumstances — discussed with you at your consultation.
For mild or early pilonidal disease, regular shaving or hair removal, good hygiene and observation may be tried before surgery. This approach is considered when there is no active infection or abscess.
If an abscess has formed but the sinus is not chronic, simple drainage may relieve symptoms temporarily. However, definitive surgery is often needed later to remove the sinus tract.
Some centres offer treatments such as laser or endoscopic pilonidal sinus procedures. These are less widely available and suitability depends on the size and complexity of the sinus.
Let's clear up some of the most common myths about pilonidal sinus surgery.
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