Introduction: Pilonidal Sinus disease is considered to be a male dominate disease which affects near about 0.7% of world young adult population. Although many treatment options are available but surgical intervention is still remained a gold standard treatment option for this disease. This study is aimed to find out better surgical procedure in terms of less complication and recurrence rate. Methods: This was a retrospective study which was carried out at Department of General Surgery, Dr M K Shah Medical College and Research Centre, Ahmedabad. Total 100 patients of which 50 patients who underwent Limberg flap procedure whereas 50 patients who underwent Secondary wound healing procedure are nalyzed. Results: In present study we have found that operative time in secondary healing procedure was significantly shorter in duration but Limberg flap procedure cures with less pain, lower rate of wound infection, less hospital stay, early returning to normal activity and low rate of recurrence of the disease. Conclusion: As a results obtained from this study we are concluding that Limberg Flap Method has shown optimal post operative outcomes as compared to Secondary healing procedure in terms of less post operative pain, low rate of wound infection, lesser days of hospitalization and low reoccurrence rate and early returning to normal daily activities. Open procedure is required lesser operative time as compared to Limberg Flap Procedure.

Keywords: Pilonidal Sinus; Limberg Flap Procedure; Secondary wound healing procedure.