Pilonidal sinus excision is a common procedure and many forms of flaps like Limberg’s flap close the defect. We are introducing a novel technique of “Lapog Unev unequal Zplasty”. This is found to be very useful and getting completecure without much scar. The residual scar is deviated from the midline with curvature to lateral side and hence recurrence is nil. Same procedure is used in few cases of pressure sore over the sacrum and found to be very good in healing and pressure bearing property.