Pilonidal Disease: Using Laser Hair Removal to Treat a Chronic Skin Disease

First published November 2018
Updated April 2026

Pilonidal disease is a chronic skin disease in the crease of the buttocks, near the tailbone. The disease can include open wounds, drainage, and recurrent infections. While it’s a common condition with more than 70,000 cases each year, it’s often not talked about due to embarrassment.

However, ignoring it isn’t a good option.

Who Can Get Pilonidal Disease?

Anyone can get pilonidal disease, but it’s three to four times more common in boys. There is often an increase in cases in the fall, when boys are playing football, but it can happen at any time. It’s also more common in people who are overweight, or those with coarse body hair.

Pilonidal disease usually occurs between the ages of puberty and 40. Unfortunately, 30 percent to 40 percent of patients will have recurrent infections.

How Is it Treated?

Infections are usually treated with antibiotics and by draining the infected fluid. Chronic wounds are managed with wound care in the clinic and sometimes with surgery. Keeping the area hair-free is also important for managing the disease. An important study conducted at Nationwide Children’s Hospital showed that laser hair removal is safe and effective in preventing recurrent disease. The laser removes the hair roots (follicles) and lasts longer than shaving or using hair removal cream.

How to Get Treatment

The Pilonidal Clinic at Nationwide Children’s Hospital offers laser hair removal as a standard part of the treatment for pilonidal disease. If you or your child would like to be evaluated at the Pilonidal Clinic, please call 614-722-3909