RESUMO
A pilonidal disease is an illness which appears in younger population (second and third life's decade), dominantly in male and especially in hairy, pilous persons. Besides symptoms and troubles this disease causes, from time to time, the disability to the work, so that its economical aspect is not to be disregarded. As the number of recurrences following the surgery could be important (accordingly to the world referencies from 15 to around 30%), the choice of an appropriate surgical treatment still remains open! Based on an analysis of their own patients operated upon in the last ten years, authors present their observations concerning the surgical treatment of chronic forms of pilonidal disease, taking into consideration a radical surgical procedure they have applied last years, which has shown certain advantages in comparison with other ones, regarding fairly reduced number of postoperative recurrences.