Background
Pilonidal Sinus has a high incidence in the community, is especially seen among young males. In the surgical treatment of pilonidal sinus disease many surgical procedures have been described. In this study, our aim is, to compare recurrence rates, recovery and return back to work periods and complication rates of patients who underwent Sinusectomy and Limberg Flap method with minimal excision of Pilonidal sinus tract.

Materials and Methods
In this study, between 2008 – 2013 years, 246 Pilonidal sinus diagnosed. sinusectomy method was applied to 127 patients (Group 1), and Limberg flap method was applied to 119 patients (Group 2). Groups were compared according to gender and age, postoperative abscess, seroma development, wound dehiscence, flap necrosis, dressing time, early and late recurrence, time to start to work again, and hospitalization period. Recurrence cases and complicated pilonidal sinus cases were excluded from the study.

Result
Early and late recurrence rates of groups were observed as 2.36% in group 1, and 3.36% in group 2. There was no statistically significant difference between the technique used and recurrence. Also there was no statistically significant difference in terms of complications (p>0,05). However, the hospitalization time, dressing time, time to start to work again for group 1 was observed statistically significantly better than group 2.

Conclusion
This study lead us limited excision of pilonidal sinus tract should have considered priority in pilonidal sinus treatment which ensures, early recovery, low recurrence rate and fast return to normal activity.