Pilonidal disease practice points: An update.

BACKGROUND: Chronic pilonidal disease is a common debilitating condition often seen in general practice. It is a cause of considerable morbidity and social embarrassment, but recent developments in treatment options provide promising solutions to this problem.  OBJECTIVE: This article recaps pilonidal sinus development and presentation, details methods of treatment in the primary care setting and explores new specialist management options available in Australia. DISCUSSION: As a chronic condition, the devastation of recurrence with further pain, embarrassment and time off work - added to the prospect of more surgery - is still common for patients with chronic pilonidal disease. This can be avoided with correct management and timely counselling regarding surgical options available.