1. Excision of the sinus and leaving the wound open: it is the most basic surgery.
Advantage is that patient can be discharged on same day.
Disadvantage is that patient will need daily dressing for a long time as the wound is open.

2. Pilonidal sinus excision & limberg’s flap repair: Here after the sinus is excised, the wound is covered with a flap from surrounding tissue.
Advantage is that patient doesn’t need daily dressing & it leaves a nice scar.
Disadvantage is patient needs couple of days of immobilization & hence couple of days of hospitalization is needed and even after discharge he/she is not advised to sit for prolonged hours in the first few weeks of surgery.

3. Bascom’s procedure: It involves lateral incision and curetting cavity, excision midline pits.
Advantage is that patient can be discharged the next day and they don’t need daily dressings.
Disadvantage is that he/she is not advised to sit for prolonged hours in the first few weeks of surgery.

4. Laser technique : It is a new method where a laser probe is used to burn the sinus tracks and then cavity is curetted.
Advantage is it can be done as a day care under local anaesthesia and discharged immediately.
Disadvantage is since it is a blind method, chances of recurrence is bit high compared to other methods.