During an EPSiT procedure, a small camera is inserted into the pilonidal sinus to visualize the area. A specialized instrument is then used to remove the sinus and any infected tissue, while preserving as much healthy tissue as possible. The wound is then closed using small stitches or a special adhesive.

EPSiT is a relatively quick and painless procedure that can be performed under local anesthesia on an outpatient basis. It offers several advantages over traditional surgery, including a shorter recovery time, less pain, and a lower risk of complications such as infection and wound healing problems.

However, EPSiT may not be suitable for all cases of pilonidal sinus disease, and some people may still require traditional surgery. It is important for people with pilonidal sinus disease to consult with a healthcare provider to determine the best treatment option for their individual needs.