Key points interpretation of the Chinese expert consensus on the diagnosis and treatment of sacrococcygeal pilonidal disease (2023 edition)

［Abstract］Sacrococcygeal pilonidal disease is an acquired condition closely associated with hair in the gluteal sulcus. The incidence of sacrococcygeal pilonidal disease is 26 per 100, 000, and it has been increasing annually. Due to ongoing controversies regarding the pathogenesis of sacrococcygeal pilonidal disease, there is a lack of standardization and uniformity in treatment methods and evaluation criteria for treatment effectiveness. To further advance the standardized diagnosis and treatment of sacrococcygeal pilonidal disease in China, the Anorectal Branch of Chinese Medical Doctor Association initiated and organized domestic experts in related fields. By referencing relevant international guidelines and literature, and combining China’s research findings and clinical practice, after repeated discussions and voting on controversial issues, the Chinese expert consensus on the diagnosis and treatment of sacrococcygeal pilonidal disease (2023 edition) was finally formulated. This consensus represents the first clinical guidance on the diagnosis and treatment of sacrococcygeal pilonidal disease in China. Its publication aims to enhance the understanding and treatment capabilities of Chinese clinicians regarding sacrococcygeal pilonidal disease, standardize and optimize treatment plans, promote academic exchanges and clinical research development in related fields, and ultimately benefit patients. This article interprets the key contents of the consensus and communicates with colleagues.