Introduction: Pilonidal sinus is a common chronic, benign disease of young adulthood. Pilonidal disease is an infection under the skin in the gluteal cleft. ‘Pilonidal’ mean tuft of hair. Known risk factors include family history, local trauma, sedentary occupation and obesity. The management of pilonidal sinus has remained controversial.

Aims and Objectives: To study the clinical presentation, predisposing factors, of pilonidal sinus in the study sample, and compare the effectiveness of two surgical treatment methods, namely, excision of sinus tracts with primary closure, and the excision of the sinus with closure of the defect with limberg flap, in terms of the duration of hospital stay, post operative wound infection and recurrence.

Methodology: All patients presenting with the Pilonidal sinus to Victoria hospital were admitted, and the demographic data like their age, sex, occupation etc were recorded. The patients were divided in to two groups, one group of 35 patients, were treated by excision of sinus tract and primary closure of the resulting defect. Another group of 35 subjects were treated by excision of sinus tract and Limberg Flap closure. The study subjects in both the groups were followed up and data regarding duration of hospital stay, the post operative wound infection, and the recurrence were collected and analyzed.

Results: A total of 40 patients [57.14%] out of 70 patients belonged to age group between 21-30yrs. Disease was more common among male (85.71%) than females(14.28%). Pilonidal sinus was found to be common among Drivers (42.85%). 35 pateints underwent excision and primary closure while remaining 35 underwent excision of sinus tract and Limberg flap repair of the defect. Recurrence after primary closure was 25.71% in our study and 5.71% after Limberg flap. Hence Limberg Flap closure of the defect following exicion was a better procedure than Primary Closure.