Pilonidal cystsexteriorizemarsupializationexcessive stainingthe table broken in the middlestripsare anchored snuglypulled downspreads the intergluteal foldoutward pull make the skin tautcut out en blocbe incurredburied suture materialtroublesome vesselsundercutthoroughlyshould be packed openeliminateda small overlapsurprisinglytributaries,must be laid wide openwiped awaythe bottom of the woundless magnitude thaninsurancesitting upon the incision in a hard chair is nota cushionbridging of the skinoveremphasized.Depilatory agentspretestingovoid incision tend to retract that can be dressed easily