Pilonidal sinus excision in Cardiff

Expert pilonidal sinus surgery in Cardiff for performed by expert surgeon with over 30 years experience

Surgery fee from £3395
Over 30 years surgical experience

Google 4.9 star rating for Excel Clinic Cardiff - private surgery and dermatology
Award badge stating 'Excellence Award in Skin Surgery and Dermatology 2-25 - Wales'
Award badge stating 'Best Private Medical Clinic in Wales'

Pilonidal sinus Surgery - At a glance

Duration

60 mins

Anaesthesia

Local Anaesthetic

Return to Work

1-2 weeks

Full recovery

4-6 weeks

What is a Pilonidal sinus?

A pilonidal sinus is a small tunnel or cyst that develops in the skin at the top of the buttock crease. It often contains hair and debris and can become painful, infected, and recurrent, leading to abscesses, discharge, and difficulty sitting or working.

Many patients struggle for years with repeated antibiotics or drainage — surgery is the only definitive cure.

pilonoidal sinus diagram

What is Pilonidal sinus surgery?

Pilonidal sinus surgery is a planned procedure to remove the abnormal sinus tract and surrounding diseased tissue at the top of the buttock crease, providing definitive treatment for chronic or recurrent pilonidal disease and reducing the risk of repeated infections.

Is pilonidal sinus surgery right for me?

Pilonidal sinus excision may be needed if you:

  • Have recurrent pilonidal infections or abscesses

  • Are tired of repeated antibiotics or drainage

  • Want to avoid general anaesthesia

  • Prefer a faster recovery

During your consultation, we confirm suitability and explain the technique, risks, and recovery in detail.

man with pilonidal sinus smiling

Benefits of pilonidal sinus excision

✅Definitive treatment – removes the underlying sinus tract rather than temporarily draining infection

✅  Reduces recurrence compared with repeated antibiotics or abscess drainage

✅   Fast recovery under local anaesthetic — no hospital stay

✅ Improved comfort when sitting and moving

man smiling after pilinoidal sinus surgery

Your Pilonidal Sinus Surgery Journey

1. Consultation

2. Day of Surgery

4. Recovery Period

5. Follow-Up Care

Surgical Journey: Full Breakdown

💻 1. Consultation
Submit our simply booking form and a member of our surgical team will contact you shortly afterward to arrange an appointment for your pre-op consultation with our senior surgeon.
 

Simple, efficient, and patient-centred

  1. Arrival and final assessment

  2. Local anaesthetic administered (numbs the area completely)

  3. Surgical excision of the pilonidal sinus

  4. Dressing applied and recovery check

  5. Same-day discharge

You can usually walk out of the clinic shortly after the procedure.

Timing: Approx 60 minutes
Comfort: Most people manage with over-the-counter pain relief that evening only.

    • Most patients return home the same day

    • Mild discomfort for a few days, controlled with simple pain relief

    • Wound care instructions provided in detail

    • Ongoing aftercare support from our clinical team

    We prioritise accessibility and responsiveness — you are not left chasing a hospital switchboard.

Your care doesn’t end with surgery:
 
  • Aftercare package containing instructions and guidance.
  • Multiple follow-up appointments for progress.
  • Ongoing support via phone or WhatsApp

Full recovery, Long-term resolution of chronic symptoms

Recovery Timeline

Weeks 1-2

Wound care ongoing
Gradual return to daily activities,
Most patients return to desk-based worky.

Weeks 3-4

Improved comfort when sitting and moving
Reduced wound sensitivity
Suitable for increased activity (non-strenuous)

Weeks 6-8

Significant wound healing achieved
Normal routines largely resumed

Weeks 8-12

Full recovery and scar maturation
Long-term resolution of chronic symptomss.

Patient Success Stories​

Rachel
I highly recommend the blepharoplasty. A simple and quick procedure with a short recovery time. Excel Clinic talked me through the process and the aftercare was faultless. Look no further, you've found the right team at Excel.
Christine
Christine
💯 brilliant service. Well explained and taken care of. Thank you to all at excel Clinic
Suzy
Excellent service, efficient with set pricing, no suprising add ons. Treated with respect and courtesy.

Meet Your Surgeon

Mr Abu Feroz MBBS FRCS

Mr Abu Feroz is a Consultant Surgeon with 30+ years’ operative experience. Alongside his NHS role at the Royal Gwent Hospital, Newport, he has extensive experience in the management of pilonidal sinus disease.

His approach to pilonidal sinus disease focuses on careful patient selection, meticulous excision of the underlying sinus tract, and clear postoperative guidance to minimise recurrence and support reliable healing.


By performing surgery under local anaesthetic where appropriate, he aims to reduce unnecessary risk, shorten recovery time, and allow patients to return to normal life with confidence.


Philosophy: Mr Abu Feroz believes in providing definitive, well-planned surgery with patient safety, comfort, and long-term outcomes at the centre of every decision.

Lead hernia surgeon

Prices and Fees

Consultation

Pre-op consultation with surgeon

£150

Pilonidal Sinus Excision

Including anaesthetic, surgery, aftercare pack, follow up and post-op support

£3395

Follow up consultations

Multiple check ups with your surgeon

Included

Pilonidal sinus Excision Cost in Cardiff & Finance Options

We offer transparent, fixed-fee pricing confirmed after consultation, which includes your surgery, standard aftercare and follow-up. Finance options are available (subject to status). Enquire for more.

Why Choose Excel Clinic?

Expert Surgeons

Over 30 years of experience in colorectal surgery
Created by Abd Majdfrom the Noun Project

Highly Rated, Award Winning Clinic

Trusted by patients - our clinic is highly rated for providing excellent private patient care in South Wales.

Transparent and Affordable Pricing

Prices are fixed, with payment plan options available.

Dedicated Aftercare Support

Ensuring you recover smoothly with expert guidance every step of the way!

Frequently Asked Questions

Pilonidal sinus surgery is a planned procedure that removes the underlying sinus tract and surrounding diseased tissue at the top of the buttock crease, providing definitive treatment for chronic or recurrent pilonidal disease rather than temporary drainage.

No. Abscess drainage is usually an emergency procedure to treat acute infection and pain but does not remove the underlying sinus.
Pilonidal sinus excision is a definitive operation aimed at reducing recurrence.

No. At Excel Clinic, suitable patients have pilonidal sinus excision performed under local anaesthetic, meaning the area is completely numb but you remain awake.

 

You should not feel pain during surgery. You may feel pressure or movement, but the area is fully numbed. Post-operative discomfort is usually manageable with simple pain relief.

The surgery typically takes around 60–90 minutes, depending on the extent of the sinus.

 

 

Yes. This is a day-case procedure, and patients go home the same day shortly after surgery.

Pilonidal sinus excision is the definitive treatment for pilonidal disease, but no surgery can guarantee zero recurrence. Careful technique, good wound care, and following post-operative advice significantly reduce the risk.

Want personalised advice? Book your Pilonidal sinus surgery Consultation today.

Areas we serve

Excel Clinic is proud to offer pilonidal sinus excision surgery surgery to patients across South Wales and South West England, with fast access and no waiting lists.

📍South Wales

 

✅ Cardiff
✅ Newport
✅ Swansea
✅ Bridgend
✅ Barry
✅ Caerphilly
✅ Pontypridd
✅ Merthyr Tydfil
✅ Cwmbran
✅ Llanelli
✅ Neath

📍South West England

✅ Bristol
✅ Bath
✅ Gloucester
✅ Cheltenham

✅ Swindon
✅ Taunton
✅ Weston-super-Mare
✅ Exeter
✅ Yeovil
✅ Bridgwater
✅ Torquay
✅ Barnstaple

Our convenient location near the M4 makes us easily accessible for patients across the region seeking prompt, expert treatment.

How to find us

We are conveniently located in Cardiff Gate Business Park, just off M4 Junction 30.

Fast access to consultant-led pilonidal sinus surgery — no GP referral required.

Booking form

Please complete and submit the booking form below, and a member of our surgical team will be in touch with you shortly to book your appointment and answer any queries!