Pilonidal sinus refers as nest of hairs and also known as Jeep-bottom because it was very common in jeep drivers. It is a condition commonly found in hairy persons.There is similarity between Pilonidal sinus and Shalyaja Nadi Vrana as described in Sushruta Samhita Differentmethods have been described for this disease such as excision and primary closure and excision with reconstructive flap, etc. However, the chances recurrence after surgery is very significant.. AcharyaSushruta has described Para surgical procedure a minimally invasive technique viz. Kshara Sutra for Nadi Vrana (Pilonidal sinus). The patient attended Shalya Tantra OPD of Gopabandhu Ayurveda Mahavidyalaya was treated with the Apamarga Kshara Sutra. The patient recovered completely with excision of the tract in seven weeks.This treatment not only minimizing the complications and recurrence but it also helps the patient to resume work quickly with less discomfort.