The incidence of pilonidal sinus (PS) is 26 cases per 100,000. Despite the great amount of proposed surgical techniques, the frequency of disease recurrence remains high. One of the problems of surgical treatment is the need to eliminate the soft tissue defect after PS excision, which is the main substrate that leads to longer treatment duration, long-term incapacity, difficult return to normal daily activities and decreasing of the quality of life. Therefore, determining the methods of treatment of PS in children, which will help reduce the number of complications and relapses, reduce the duration of hospitalization, remains relevant