There are many surgical operations for the treatment of pilonidalis cyst. The results are controversial and surgical infections as recurrences are common complications. We suggest a new surgical technique consists in two operating times: the first (“dirtyâ€Â) of cyst exeresis and the second (“cleanâ€Â) of direct suture. The first results on 82 patients show only 7.3% of wound opening, 1.2% of surgical infections and no recurrence s. More studies are needed to verify this first results.