Pilonidal Disease is a common chronic condition characterized by cyst /abscess or sinus formation in the gluteal and natal cleft region. It is commonly seen sacrococcygeal area of males in the 15-25age group be cause of hairy lower back, buttocks and supra anal region.The initial phase presents with cyst/abscess whereas chronic phase has intermittently secreting fistula.

One treatment option of pilonidal sinus is complete surgical excision of the whole tract. A major challenge post-surgery is to prevent recurrence from excessive hairs that break and get embedded into the skin of the natal cleft region.

Depilatory methods such as hair removal creams, shaving etc., are useful to prevent recurrence, but it’s extremely bothersome to do them regularly at this relatively inaccessible area. Blade shaving is convenient, but difficult as the area is not easy to shave and can cause nicks and cuts. Most people stop maintaining regular hair removal and area hygiene leading to recurrence.

60–80% reduction in hair growth at 12 month scan be expected with LASER HAIR REDUCTION. Multiple treatments are needed to progressively increase the hair-free period between treatments. Complications are few, but patients may experience discomfort during LHR, particularly around the anal orifice as it is an extremely sensitive area. Topical anesthesia cream application prior to the procedure reduces the pain.Temporary changes in pigmentation can occur.

Laser hair removal is a useful adjunct to surgical treatment of pilonidal sinus to prevent recurrence, which usually happens if the hairs are not taken care of. The hair may not go completely after LHR but are converted into thin light hair that do not get embedded in the skin.