Pit-Picking Procedure in New Jersey: A Minimally Invasive Solution for Pilonidal Disease

A syringe is being used to inject a liquid into a person 's skin.

Are you dealing with painful, recurring pilonidal cysts but hesitant about major surgery? Pit-picking may be the answer you’ve been looking for.

What Is Pit-Picking?

Pit-picking is a minimally invasive procedure designed to treat pilonidal disease in its early stages or for patients with isolated sinus tracts. By removing the small, hair-containing pits that fuel infection, this approach targets the root cause with less trauma and a faster recovery than traditional surgery.


Key Benefits:

  • Minimally invasive: Small incisions mean less pain and scarring.
  • Rapid recovery: Most patients return to normal activities the day after their procedure.
  • Outpatient convenience: Performed in our New Jersey ambulatory care center under intravenous sedation.
  • Expert care: Dr. Samuil Rafailov specializes in pilonidal disease, with years of experience helping local patients get back to living pain-free.

How Does Pit-Picking Work?

After gently numbing the area with local anesthesia, Dr. Rafailov makes precise incisions to remove the infected pits and sinus tracts. The area is thoroughly cleaned and, depending on your needs, incisions may be left open or closed with a few sutures. This approach reduces the chance of recurrence while minimizing downtime.

Surgical procedure in progress; gloved hands with tools, cutting tissue. Bloody wound on marked skin.
Diagram of a pilonidal cyst in skin showing a pus-filled cyst, sinus tract, hair, and fat tissue.

Why Choose Pit-Picking Over High-Tech Alternatives

Procedures like SiLaC (sinus laser closure) and Epsit (endoscopic pilonidal sinus treatment) sound advanced, but current research shows no better outcomes compared to classic pit-picking. At Pilonidal Fix, we focus on what works—safe, evidence-based care that gets you lasting relief.

Real Results for New Jersey Patients

Hundreds of local patients have trusted Pilonidal Fix for fast, compassionate care. Our team understands the frustration and embarrassment pilonidal disease can cause—and we’re here to help you move forward with confidence.


“I was back to work the next day. Dr. Rafailov’s approach was simple, and the pain was gone.”
 — M.C., Newark, NJ

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Take the Next Step-Schedule Your Consultation

Ready to leave your pain behind? Same-week appointments are available, and most insurance plans are accepted.

Call Dr. Samuil Rafailov at 973-323-2400 or pilonidalfix@gmail.com today to get expert answers and a personalized treatment plan.

Don’t wait—get back to comfort and confidence with pit-picking in NJ

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