Background: Sacrococcygeal pilonidal sinus is an acquired disease commonly seen in young adults especially males in gluteal cleft and it is known for recurrence and affects the patient’s quality of life. Rhomboid excision of sinus with Limberg rotation flap coverage is a well-known surgical modality for this. This prospective study is carried out to determine the effects of the Limberg flap rotation surgery especially for its feasibility in a General surgical unit for the sacrococcygeal pilonidal sinus patients, their compliance, outcomes of the surgery such as wound infection, postoperative pain relief, recurrence rates, and back to routine duration. Patients and methods: This is a prospective study of 40 Limberg flaps done from 2017 January to 2018 December in general surgical unit by the same surgical team for both primary and recurrent Pilonidal sinuses, and patients who previous incision and drainage had done for the pilonidal abscess. The various demographic, clinical and surgical data are studied and compared to other studies. Results: There were 34 (85%) male patients and 6 (15%) female patients and all patients successfully underwent surgery, with very minimal postoperative pain, stayed in hospital for average 10 days, returned to work after 3 weeks. The operative time, blood loss, hospital stay, surgeon’s performance scale, wound hypothesia, wound cosmoses score, patient satisfaction score, and patient quality of life were studied. The Limberg flap surgery had better clinical results regarding frequency of seroma formation and time to drain removal, pain score and early return to normal works. Out of the 40 patients operated 1 (2.5%) developed superficial skin necrosis, 2 (5%) developed seroma, and 1(2.5%) type-1 diabetic female developed surgical site infection. Conclusion: In this procedure of Limberg flap there are significant benefits in terms of postoperative pain, infection rates, less hospital stay and early return to work with almost nil recurrences.