Minimally invasive options first, in Seattle, Washington
Pilonidal Disease
Pilonidal disease develops when hair penetrates the skin at the top of the gluteal crease, creating a cyst, abscess, or draining tract. Many patients can avoid the most invasive procedures.
Signs of pilonidal disease
- Pain or swelling near the tailbone
- Drainage or bleeding from small pits or openings
- Recurrent infection or abscess
- Difficulty sitting or exercising
It's most common in young adults, athletes, and people who sit for long periods. Left untreated, it can become chronic or recurrent.
How pilonidal disease is treated
- Drainage of an abscess when infection is present
- Minimally invasive options like pit picking, SiLaC, simple excision
- Surgical excision for complex or chronic disease, using off-midline closure or flap techniques to speed healing and lower recurrence risk
- Laser hair ablation to reduce recurrence
Treatment is often staged, starting with the least invasive option that fits your case.
Your visit
- An exam and review of your symptom history
- Abscess drainage the same day, if needed
- A staged plan, if your case calls for more than one step
Hair reduction and hygiene guidance are part of every treatment plan, since they're key to preventing recurrence.
What it costs
Pilonidal disease treatment can be covered by insurance, depending on your plan. Our billing team confirms your benefits before your visit.
Performed by Dr. Kratz, in our Seattle office
Every step, from pit picking through surgical excision, is performed personally by Dr. Kratz.
Common questions
Does this always require surgery?
How long is recovery?
Is recurrence common?
When should I see a specialist?
Will insurance cover this?
Connected to your care
Laser hair removal plays a role in both treating and preventing pilonidal disease.
You don't have to keep living with this.
Call or text for a private consultation and a clear plan.