Pilonidal sinus should be done by minimally invasive surgery, which is LASER or Endoscopic. Let the surgeon decide. Go to the surgeon who does both ways, endoscopic and laser or open go get the right opinion about your pilonidal sinus.

The commonly done Open surgery for Pilonidal sinus are: 1) Surgery to remove sinus and wound left open and 2) Surgery to remove sinus and wound closed. Endoscopic ablation of a pilonidal sinus is also an option. But you need to find out the hospitals doing this procedure. Cost depends on the hospital where you get your surgery.

Open surgery is cheaper and effective Laser no special adv. Cost a ton

Wide excision is the best . Depilation and avoid sleeping prone is mandatory in post op period for 45 days . Costs about 75 k

Open surgery is cheaper.