A pilonidal sinus is a sinus that contains hair, primarily in the sacrococcygeal region, due to preferring conditions like: The presence of a profound natal split and the presence of hair inside the separated, perspiring, maceration, bacterial tainting, and entrance of hair. The point of this examination was to analyze between the results of insignificant extraction of pilonidal sinus lot with basic direct conclusion versus wide extraction with rotational rhomboid fold conclusion. This investigation included 50 patients experiencing 1ry non intermittent sacrococcygeal pilonidal sinus. They were arbitrarily partitioned into 2 gatherings. The primary gathering (25 patients) was exposed to negligible extraction of the pilonidal sinus plot and straightforward direct conclusion while patients of the subsequent gathering (25 patients) were exposed to wide neighborhood extraction and rotational rhomboid fold reproduction. there were no critical contrasts among the two gatherings as for age or sex conveyance. Likewise no critical distinction in contamination, seroma, disturbance and repeat rates yet insignificant extraction of the pilonidal sinus parcel and straightforward direct conclusion was altogether more limited in usable time, Post-employable clinic stay, recuperating time and early re-visitation of work. The natal separated in the rhomboid fold gathering can be leveled, and tissue can be approximated without strain. rhomboid fold procedure in pilonidal sinus medical procedure almost equivalent in the vast majority of static's to insignificant extraction of the pilonidal sinus plot and basic direct conclusion in1ry non repetitive sacrococcygeal pilonidal sinus.