Sacral pits are commonly seen in newborns. They are simple dimples or atypical dimples. Congenital dermal sinus is an atypical dimple and is known to be associated with presacral dermoid cyst. Surgical intervention these without proper evaluation can lead to complications. The management of 8­year­old girl with recurrent congenital dermal sinus is discussed in this case report. 

Keywords: Sacral Pits; Congenital Dermal Sinus; Presacral Mass; Dermoid Cyst.