Pit-picking resolves pilonidal disease in adolescents

This case series of 58 adolescent patients demonstrates that pit-picking under local anesthesia, combined with laser hair epilation for hirsute patients, achieved symptom resolution in 92% of cases at 5-month follow-up. The minimally invasive office procedure required minimal analgesia and allowed immediate return to activities, suggesting it as an effective first-line treatment for adolescent pilonidal disease.