Analysis of the surgical treatment results in 54 patients, suffering pilonidal disease in 2011 - 2013 yrs, was done. Introduction of procedure, proposed in the clinic, for the operative wound closure after pilonidal disease surgical treatment have promoted the postoperative morbidity rate reduction and the patients treatment results improvement. A summation of a two-layered horizontal suture on different levels of subcutaneous layer and of vertical knot cutaneous sutures have guaranteed the possibility of the wound healing by a primary tension fashion, without durable filling of the wound defect with granulations.