Surgical treatment of pilonidal sinus is by surgical excision of sinus and partial closure by suturing skin to pre-sacral fascia. This study was carried out on 20 patient with pilonidal sinus admitted to surgical department in Kobry-El-Kobba Military Medical Campus. This patient was treated by surgical exciting of pilonidal sinus and partial closure of the wound by suturing skin edge to presacral fascia. This study covers the introduction and incidence, pathology, clinical presentation
and different method in management of pilonidal sinus. This study proposes that excision of pilonidal sinus and partial closure of the wound by suturing skin edge to pre-sacral fascia, safe, with low recurrent rate- short hospital stay. No postoperative discomfort or food restriction and early ambulation and return to work. This study was done up on 20 young male troops “soldiers" patients with mean age 25 years admitted to surgical department, Kobry El-Kobba Military Medical
Campus, from January 2016 to December 2018, treated by suturing skin edge to pre sacral fascia, and study the effect of operation on patient convenience, infection, recurrence, bleeding postoperative, healing time, hospital stay and histopathological examination of specimens.