Pit Picking
Minimally invasive office procedure where the small pit openings are removed and the underlying cavity is cleaned — quick, simple, with very fast recovery in early disease.
What is Pit Picking?
Pit Picking is a minimally invasive, office-based technique for early or limited pilonidal sinus disease. The small pit openings (where hair enters the skin) are individually removed using small punch excisions, and any small lateral abscess is drained through a separate side opening. The technique is gentle, leaves only tiny wounds, and has remarkably fast recovery — most patients return to work within 1–2 days. Dr. Tejasree Vengala, a sensitive female proctologist in Hyderabad, performs pit picking at Lux Hospitals, Hyderabad, in carefully selected early or limited cases.
How the Procedure Works
Local Anaesthesia
The procedure is performed under local anaesthesia in the office. The pit openings are carefully identified.
Pit Excision
Each small pit is removed individually using a tiny punch biopsy, leaving very small wounds.
Lateral Drainage
Any underlying abscess or cavity is drained through a small lateral incision, keeping the midline pits clean.
Hair Removal & Cleaning
Trapped hair and debris are gently removed from the underlying cavity, which is then irrigated thoroughly.
Dressing & Discharge
Simple dressings are applied. Patients return home immediately and resume light activity the same day.
Outcomes
Who Needs This Treatment?
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Office procedure under local anaesthesia
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Tiny wounds — no formal cuts
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Same-day return home with light activity
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Return to office work in 1–2 days
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Excellent option for early or limited disease
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All other treatments remain available if needed
Pit picking is wonderfully simple — for the right patient with early disease, we treat exactly what is causing the problem and nothing more. Tiny wounds, fast recovery, and a real chance of cure without committing to a major operation.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Pit Picking Cost in Hyderabad
The cost of pit picking in Hyderabad depends on the extent and complexity of pilonidal disease, the number and location of sinus pits, the presence of infection or abscess, the investigations required, and the care needed before and after the procedure.
For patients with limited pilonidal sinus disease suitable for a minimally invasive approach, the approximate cost of pit picking ranges between ₹30,000 and ₹60,000.
| Procedure | Approximate Cost Range |
|---|---|
| Pit Picking | ₹30,000 – ₹60,000 |
The final cost may vary depending on your individual condition, findings during evaluation, number of pits or sinus tracts, and whether any additional procedures are required.
Factors That Influence Pit Picking Cost
The overall cost may depend on:
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Extent of pilonidal disease: The number, size, and location of sinus pits, presence of infection or abscess, and whether the condition is recurrent may influence treatment planning.
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Pre-procedure evaluation: Required clinical examination, imaging when needed, blood tests, and medical assessments before the procedure may affect the overall cost.
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Additional procedures: If abscess drainage, sinus tract excision, or other pilonidal disease procedures are required along with pit picking, the cost may vary.
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Post-procedure care: Medicines, wound care, dressing requirements, hygiene guidance, and follow-up visits may influence the final estimate.
Is Pit Picking Covered by Insurance?
Pit picking may be covered by health insurance when it is performed for a medically necessary pilonidal condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before treatment.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tejasree Vengala
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Tejashree Vengala, General & Laparoscopic Surgeon in Hyderabad, will evaluate your symptoms, medical history, and examination findings to determine whether pit picking is suitable for you. She will explain the procedure, expected recovery, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
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Not sure which treatment is right for you?
Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.