Nobody likes to talk about complaints in the delicate region of the lower back and buttocks. But tenderness, pain, swelling, itching, and discharge are no reason to be ashamed but should be investigated by an experienced proctologist. There are ways and means to get rid of these symptoms. This section of our website explains, how you can find out if you are suffering from Pilonidal Sinus and which options exist for gentle treatment. Dr. Hofer has been a pioneer in the introduction and further development of the Pit Picking and Cleft lift surgical techniques since 2002 and in laser surgery since 2011.