Unfortunately, some patient’s experience with surgery for pilonidal disease is unsuccessful. There are patients have numerous operations over a span of many years and can not seem to have their problem solved. Does that mean “surgery doesn’t work for them”?
What it means is the kind or quality of surgery they had didn’t work for them. “Surgery” is a broad term, and can encompass many different operations done with surgeons of varying skill. It is possible for any operation for pilonidal disease, including the cleft-lift, to fail. However, in experienced hands, 99% of patients can be cured with a cleft-lift.
The cleft-lift is also an excellent solution to wounds that remain after failed other operations including wide excisions and other flap procedures.
So, if you are considering surgery, do not let the negative experiences of other patients guide you to pessimistic inertia, but instead look for a cleft-lift surgeon with experience to solve your problem.