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Depending on how much tissue is removed the area may or may not be. A pilonidal sinus is a problem in your natal cleft the area between your buttocks that can cause infection. Everything You Need To Know About Pilonidal Cysts Pilonidal Cyst Cysts Sinus Surgery Invasive pilonidal sinus surgery is usually reserved for recurrent cyst formation a condition known as pilonidal disease. Pilonidal sinus surgery . Hairs can grow in your natal cleft or loose hairs can fall and collect in your natal cleft. Research has shown that this approach to cleaning and closing a pilonidal sinus has better long term results than traditional surgical treatments. Pilonidal cysts also known as pilonidal sinuses are often removed through surgical excision procedures. How are pilonidal sinuses treated. A cut is made to remove the skin with the pores and the underlying tissue with the hair follicles. Surgery for pilonidal sinus. Depending on the presentation of the pilonidal sinus surgery ca...