The occurrence and treatment of pilonidal sinus disease is neither new nor specifically remarkable. While this study can be criticized from a variety of points of view, its value lies in the distinct focusing of care in this problem on prevention and the shift of treatment from the operating room to the surgery clinic. Although discussion can be advanced regarding analyses of data or prospective or retrospective design, the fact remains that pilonidal sinus disease is a common complaint, relatively poorly addressed in the literature, and responsible for a degree of morbidity considerably out of proportion to the severity of the disease itself. If the type of treatment noted by the authors, based largely on prevention and carried out in the setting of the surgery clinic, could be extended throughout the country, the reduction in morbidity, the savings in cost to the medical system, and the advantages to individual patients