Recovery after laser pilonidal sinus treatment
Laser pilonidal sinus treatment is performed under local anaesthesia and patients go home the same day. Most desk workers return to work within a few days; complete closure of the tracts can take a few weeks.
The first 48 hours
Because the procedure is done under local anaesthesia, you go home the same day. Mild pain and a small amount of discharge are normal in the first days; recommended painkillers and dressings are usually enough.
First week: back to daily life
Most people in desk jobs return to work within a few days. Avoiding long periods in one position, standing up regularly and keeping the area clean and dry are recommended. Timing of showers and dressings is explained at your check-up.
Weeks 2–6: closure
A small amount of discharge may continue for a few weeks while the tracts close from inside. Healing is monitored at follow-up visits. Activities that put pressure on the area, such as cycling and long sitting, are resumed gradually.
Hair control and preventing recurrence
Because hair in the area can contribute to new tracts, laser hair removal or regular hair removal is recommended after healing. Hygiene and weight control also help reduce recurrence.
When to seek medical advice
Increasing pain and swelling, spreading redness, fever, or foul-smelling or increasing discharge should be reported without waiting for your check-up.
Frequently asked questions
Does sitting harm the wound?
Short periods of sitting are fine. Breaking up long sitting and using a soft cushion help in the first days.
When can I exercise?
Walking can start straight away. Running, weight training and cycling usually start after a few weeks, as advised at follow-up.
Can laser be repeated if it recurs?
In suitable patients, yes. Recurrence is reassessed and, depending on the tracts, a different method may be recommended.
Further reading
NHS · Pilonidal sinusSiLaC outcomes and factors affecting success — clinical study (2024)General patient information. Individual treatment is planned in consultation.