Introduction: The sacrococcygeal pilonidal disease (SPD) represents a group of abscesses or sinuses with hairy content, occurring in the intergluteal cleft. Karydakis flap (KF) technique is based on the excision of SPD with a mobilized fasciocutaneous flap, with lateral suture lines. With this flap, by decreasing tension in the surgical wound, leads to less pain, faster recovery and, therefore, it reduces recur...