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When Does a Pilonidal Sinus Require Surgery?

Pilonidal sinus often starts as a small, painless opening near the tailbone, but it can gradually progress into a painful and recurrent condition. While mild cases may be managed conservatively, surgery becomes necessary when symptoms persist or complications develop.

When-Does-a-Pilonidal-Sinus-Require-SurgeryWhen-Does-a-Pilonidal-Sinus-Require-Surgery
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Dr. Vipin Nagpal
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Dr. Vipin Nagpal
MBBS, MS-General Surgery
31 Years Experience Overall
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Updated On - April 17, 2026
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Proctology
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Pilonidal Sinus
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Piles
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Rectal Prolapse
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Fissure
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Fistula
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Fecal Incontinence
","
Constipation
","
Hemorrhoids
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Laparoscopy
","
Umbilical Hernia
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Hydrocele
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Inguinal Hernia
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Incisional Hernia
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Appendicitis
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Gallstone
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Hernia
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Achalasia Cardia
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Acid Reflux Surgery
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Large Intestine
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Small Intestine
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Colonoscopy
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Gastric Bypass Surgery
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Gynaecology
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Pain During Intercourse
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Abortion
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Hysteroscopy
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Vaginal Recurrent Infection
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Lichen Sclerosus
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Preconception Care
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Medical Termination Of Pregnancy
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Understanding when a pilonidal sinus requires surgery helps in avoiding repeated infections and long-term discomfort.

What Is Pilonidal Sinus?

Pilonidal sinus is a condition where:

  • A tract or cavity forms near the tailbone
  • Hair, debris, and bacteria accumulate
  • Infection and abscess formation may occur

It commonly affects young adults and individuals with sedentary lifestyles.

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Can Pilonidal Sinus Be Treated Without Surgery?

In early or mild cases:

  • Antibiotics may help control infection
  • Proper hygiene can reduce symptoms
  • Hair removal and lifestyle changes may prevent worsening

However, these measures do not eliminate the sinus tract completely.

When Does Surgery Become Necessary?

1. Recurrent Infections

  • Repeated episodes of pain, swelling, or pus discharge
  • Indicates that the sinus is not healing on its own

2. Formation of Abscess

  • Collection of pus causing severe pain and swelling
  • Requires drainage and often definitive surgical treatment

3. Persistent Discharge

  • Continuous or intermittent fluid/pus discharge
  • Suggests a chronic sinus tract

4. Chronic Pain or Discomfort

  • Pain while sitting or during daily activities
  • Affects quality of life

5. Multiple Sinus Openings

  • Complex or branching tracts
  • Less likely to respond to non-surgical treatment

6. Failure of Conservative Treatment

  • No improvement despite medication and care
  • Symptoms continue or worsen

7. Recurrent After Previous Treatment

  • Sinus returns after earlier procedures
  • Requires a more definitive surgical approach

Types of Surgical Options

Depending on severity, surgeons may recommend:

  • Minimally invasive laser treatment
  • Endoscopic procedures (EPSiT)
  • Excision with flap techniques (for complex cases)

The goal is to remove the sinus tract and prevent recurrence.

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Dr. Tagore .V

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

12 Years Experience Overall

online dot green Doctor available
Dr. A N M Owais Danish (1aVgsfk96E)

Dr. A N M Owais Danish

MBBS,MS

₹1200₹600Consultation Fee

star icon

4.8/5

medikit icon

12 Years Experience Overall

online dot green Doctor available
Dr. Nelson V Junghare (oqrvqd8Myf)

Dr. Nelson V Junghare

MBBS, MS

₹1200₹600Consultation Fee

star icon

4.8/5

medikit icon

12 Years Experience Overall

online dot green Doctor available
Dr. Shaju S (6obNxHbJe6)

Dr. Shaju S

MBBS, DNB-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

11 Years Experience Overall

online dot green Doctor available
Dr. Sharath A (5ogUoyymRn)

Dr. Sharath A

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

5.0/5

medikit icon

11 Years Experience Overall

online dot green Doctor available
Dr. Anshul Bansal (XNnWm8QpTf)

Dr. Anshul Bansal

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

11 Years Experience Overall

online dot green Doctor available
Dr. Majethiya Jalpesh (Evnw4bUXPe)

Dr. Majethiya Jalpesh

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.9/5

medikit icon

11 Years Experience Overall

online dot green Doctor available
Dr. Manoop K (PUALb4IcDe)

Dr. Manoop K

MBBS, DNB-General Surgery, FMAS, FIAGES

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

10 Years Experience Overall

online dot green Doctor available
Dr. Bezawada Umesh (pv3Zi1FGlV)

Dr. Bezawada Umesh

MD-physician, DNB-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

10 Years Experience Overall

online dot green Doctor available
Dr. Naveenraj Sivakumar (waDLOFvDLH)

Dr. Naveenraj Sivakumar

MBBS, MS General Surgery

₹1200₹600Consultation Fee

star icon

5.0/5

medikit icon

10 Years Experience Overall

online dot green Doctor available
Dr. Sankarshan Saha (RtVBCZ6mDM)

Dr. Sankarshan Saha

MD-Physician, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

8 Years Experience Overall

online dot green Doctor available
Dr. Utkarsh Dhabarde (qbSkmFpo6K)

Dr. Utkarsh Dhabarde

MBBS, MS-General Surgery, FIAGES, FCLS

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

8 Years Experience Overall

online dot green Doctor available
Dr. Pravat Kumar Majumdar (Vx6AhE6uAv)

Dr. Pravat Kumar Majumdar

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

27 Years Experience Overall

online dot green Doctor available
Dr. Dhamodhara Kumar C.B (0lY84YRITy)

Dr. Dhamodhara Kumar C.B

MBBS, DNB-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

27 Years Experience Overall

online dot green Doctor available
Dr. Vaibhav Jagannath Lokhande (3jL7Qf6FCo)

Dr. Vaibhav Jagannath Lokhande

MBBS, MS - General Surgery

₹1200₹600Consultation Fee

star icon

5.0/5

medikit icon

26 Years Experience Overall

online dot green Doctor available
Dr. Vivek Girotra (0n4zcNVgWt)

Dr. Vivek Girotra

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

26 Years Experience Overall

online dot green Doctor available
Dr. Vinod Rajkumar Thangavelu (ltBK0baAL3)

Dr. Vinod Rajkumar Thangavelu

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

5.0/5

medikit icon

24 Years Experience Overall

online dot green Doctor available
Dr. Purav Goel (g3AcDQHKeZ)

Dr. Purav Goel

MBBS, MS

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

23 Years Experience Overall

online dot green Doctor available
Dr. Suganya Sasikumar (ohhGA54xsb)

Dr. Suganya Sasikumar

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

5.0/5

medikit icon

21 Years Experience Overall

online dot green Doctor available
Dr. Vishal Tukaram Diddi (rpSApPxjHc)

Dr. Vishal Tukaram Diddi

MBBS, MS-General Surgery & FCPS

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

21 Years Experience Overall

online dot green Doctor available
Dr. Sudatta Bhimrao Waghmare (FnAEsqHYzd)

Dr. Sudatta Bhimrao Waghmare

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

21 Years Experience Overall

online dot green Doctor available
Dr. Sree Kanth Matcha (8VEuoSlP1a)

Dr. Sree Kanth Matcha

MBBS, MS

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

20 Years Experience Overall

online dot green Doctor available
Dr. Varun Gupta (t3cnNYCT47)

Dr. Varun Gupta

MBBS, MS - General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

20 Years Experience Overall

online dot green Doctor available
Dr. Prateek Patil (VhzPB4rUvS)

Dr. Prateek Patil

MBBS, MS-General Surgery

FREEConsultation Fee

star icon

4.5/5

medikit icon

19 Years Experience Overall

online dot green Doctor available
Dr. Sunil Joseph (B5VVoG3Azw)

Dr. Sunil Joseph

MBBS, MS, MMIP (Proctology)

₹1200₹600Consultation Fee

star icon

4.8/5

medikit icon

18 Years Experience Overall

online dot green Doctor available
Dr. Shashikiran B D (AI0B1ok5Gh)

Dr. Shashikiran B D

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

18 Years Experience Overall

online dot green Doctor available
Dr. Nidhin Skariah (vftLhDikl9)

Dr. Nidhin Skariah

MBBS, MS

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

15 Years Experience Overall

online dot green Doctor available
Dr. Soumitra Manwatkar (4xYBdzKHQj)

Dr. Soumitra Manwatkar

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.9/5

medikit icon

14 Years Experience Overall

online dot green Doctor available
Dr. Chetan Dayaram Rathod (yTS4wARC2i)

Dr. Chetan Dayaram Rathod

MBBS, MS-General Surgey

₹1000₹500Consultation Fee

star icon

5.0/5

medikit icon

14 Years Experience Overall

online dot green Doctor available
Dr. Naresh Veeranki (v9aujNMJVh)

Dr. Naresh Veeranki

MBBS, MS-General Surgery, FMAS

₹1000₹500Consultation Fee

star icon

4.5/5

medikit icon

14 Years Experience Overall

online dot green Doctor available
Dr. Amish (zDz1BXActI)

Dr. Amish

MBBS, DNB-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

14 Years Experience Overall

online dot green Doctor available
Dr. Munesh Meena (RC2jtGFssm)

Dr. Munesh Meena

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

14 Years Experience Overall

online dot green Doctor available
Dr. Chimakurti Durga Deepak (C1IhkTHI5H)

Dr. Chimakurti Durga Deepak

MBBS, DNB-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

14 Years Experience Overall

online dot green Doctor available
Dr. M.Anand Kamalraj Abraham (DcNxAQYBPV)

Dr. M.Anand Kamalraj Abraham

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

13 Years Experience Overall

online dot green Doctor available
Dr. Vicky Kuldeep (fK9vscZXeu)

Dr. Vicky Kuldeep

MBBS, DNB-General Surgery

₹1200₹600Consultation Fee

star icon

5.0/5

medikit icon

13 Years Experience Overall

online dot green Doctor available
Dr. K Lakshmi Chandra Sekhar (ZEKUgyGpkS)

Dr. K Lakshmi Chandra Sekhar

MBBS, MS- General Surgery

₹1200₹600Consultation Fee

star icon

4.9/5

medikit icon

13 Years Experience Overall

online dot green Doctor available
Dr. Mahendra Kumar Meena (xe2f0SNG96)

Dr. Mahendra Kumar Meena

MBBS, MS-General Surgeon

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

11 Years Experience Overall

online dot green Doctor available
Dr. Md Umar (kG7uJ6GPBI)

Dr. Md Umar

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

10 Years Experience Overall

online dot green Doctor available
Dr. Agarwal Parth (EEBxRicpjq)

Dr. Agarwal Parth

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

10 Years Experience Overall

online dot green Doctor available
Dr. Ajit Sheoran (PpLkmvUlaQ)

Dr. Ajit Sheoran

MBBS, MS-General Surgery

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

9 Years Experience Overall

online dot green Doctor available
Dr. S Priyanka (0tFtdZ9W4n)

Dr. S Priyanka

MBBS, MS-General Surgeon

₹1200₹600Consultation Fee

star icon

4.5/5

medikit icon

7 Years Experience Overall

Benefits of Timely Surgery

  • Permanent removal of the sinus tract
  • Relief from pain and infection
  • Reduced risk of complications
  • Improved quality of life

Risks of Delaying Surgery

  • Repeated infections and abscess formation
  • Increased complexity of the condition
  • Longer recovery in advanced cases
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    When Should You Consult a Doctor?

    • Pain or swelling near the tailbone
    • Recurrent discharge or infection
    • Difficulty sitting comfortably
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    Early consultation can prevent complications and simplify treatment.

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    Final Thoughts

    Pilonidal sinus may start as a minor issue but can become a chronic and painful condition if ignored. Surgery is recommended when symptoms are recurrent, persistent, or complicated.

    Timely surgical intervention using modern techniques ensures faster recovery, lower recurrence, and long-term relief.

     

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    Proctology
    ","
    Pilonidal Sinus
    ","
    Piles
    ","
    Rectal Prolapse
    ","
    Fissure
    ","
    Fistula
    ","
    Fecal Incontinence
    ","
    Constipation
    ","
    Hemorrhoids
    ","
    Laparoscopy
    ","
    Umbilical Hernia
    ","
    Hydrocele
    ","
    Inguinal Hernia
    ","
    Incisional Hernia
    ","
    Appendicitis
    ","
    Gallstone
    ","
    Hernia
    ","
    Achalasia Cardia
    ","
    Acid Reflux Surgery
    ","
    Large Intestine
    ","
    Indirect Hernia
    ","
    Small Intestine
    ","
    Colonoscopy
    ","
    Gastric Bypass Surgery
    ","
    Gynaecology
    ","
    Pain During Intercourse
    ","
    Vaginoplasty
    ","
    Labiaplasty
    ","
    Vaginal Discharge
    ","
    Laser Vaginal Tightening
    ","
    Vaginal Dryness
    ","
    Ovarian Cyst
    ","
    Hysterectomy
    ","
    Hymenoplasty
    ","
    Clitoral Hoodoplasty
    ","
    Abortion
    ","
    Hysteroscopy
    ","
    Pap Smear
    ","
    Vaginal Rejuvenation
    ","
    Ectopic Pregnancy
    ","
    Laser Vaginal Rejuvenation
    ","
    Vaginal Recurrent Infection
    ","
    Pelvic Pain
    ","
    Female Urinary Problems
    ","
    Lichen Sclerosus
    ","
    Menstrual Disorders
    ","
    Preconception Care
    ","
    Uterine Fibroid
    ","
    Pcos Pcod
    ","
    Pregnancy Care
    ","
    Medical Termination Of Pregnancy
    ","
    Laser Vaginal Bleaching
    ","
    Anal Bleaching
    ","
    Vaginal Wart
    ","
    Molar Pregnancy
    ","
    Bartholin Cyst
    ","
    Miscarriage
    ","
    Endometriosis
    ","
    Adenomyosis
    ","
    Myomectomy
    ","
    Dilation And Evacuation (D&E)
    ","
    Polypectomy
    ","
    ENT
    ","
    Turbinate Reduction
    ","
    Uvulopalatopharyngoplasty
    ","
    Adenoidectomy
    ","
    Myringotomy
    ","
    Microlaryngeal
    ","
    Mastoidectomy
    ","
    Tongue Base Reduction
    ","
    Tonsils Removal
    ","
    Deviated Nasal Septum
    ","
    Eardrum Surgery
    ","
    Sinus Surgery
    ","
    Thyroidectomy
    ","
    Tonsillectomy
    ","
    Ear Surgery
    ","
    Sinusitis
    ","
    Tympanoplasty
    ","
    Fess Surgery
    ","
    Stapedectomy
    ","
    Septoplasty
    ","
    Tonsillitis
    ","
    Adenoids
    ","
    Hearing Problem
    ","
    Thyroid Infection
    ","
    Chronic Sinusitis
    ","
    Recurrent Sinusitis
    ","
    Subacute Sinusitis
    ","
    Mastoiditis
    ","
    Parotidectomy
    ","
    Nose Surgery
    ","
    Vocal Cord Polyps
    ","
    Adenotonsillectomy
    ","
    Otitis Media
    ","
    Nasal Polyps
    ","
    Turbinoplasty
    ","
    Ear Infection
    ","
    Ear Hole
    ","
    Throat Infection
    ","
    Middle Ear Perforation
    ","
    Urology
    ","
    Urinary Tract Infection
    ","
    Urinary Incontinence
    ","
    Erectile Dysfunction
    ","
    Urethral Stricture
    ","
    Stress Urinary Incontinence
    ","
    Circumcision
    ","
    Kidney Stones
    ","
    Male Urinary Tract Infection
    ","
    Prostate Enlargement
    ","
    Phimosis
    ","
    Paraphimosis
    ","
    Foreskin Infection
    ","
    Balanoposthitis
    ","
    Balanitis
    ","
    Frenuloplasty
    ","
    Cystoscopy
    ","
    Cystolithotripsy
    ","
    DJ Stent
    ","
    cystolithotomy
    ","
    Urethral Stricture
    ","
    pyeloplasty
    ","
    nephrostomy
    ","
    Vascular
    ","
    Varicose Veins
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    Varicocele
    ","
    Diabetic Foot Ulcer
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    AV Fistula For Dialysis
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    Spider Veins
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    Aesthetics
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    Rhinoplasty
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    Breast Reduction
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    Breast Lump
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    Hair Loss
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    Breast Surgery
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    Axillary Breast
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    Scar Removal
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    Abdominoplasty
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    Double Chin
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    Buccal Fat
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    Earlobe Repair
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    Blepharoplasty
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    Orthopedics
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    Knee Replacement
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    Spine Surgery
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    Hip Replacement
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    Arthroscopy
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    ACL Tear
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    Rotator Cuff Repair
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    Bankart Surgery
    ","
    Bankart Repair
    ","
    Meniscus Repair Surgery
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    Shoulder Replacement Surgery
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    Discectomy
    ","
    Laminectomy
    ","
    Acdf Surgery
    ","
    Spinal Fusion
    ","
    Ligament Injury
    ","
    Knee Arthroscopy
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    Shoulder Arthroscopy
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    Ophthalmology
    ","
    Lasik
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    Cataract
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    Squint Surgery
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    Glaucoma Surgery
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    Retinal Detachment Surgery
    ","
    Diabetic Retinopathy Treatment
    ","
    Intravitreal Injections
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    Vitrectomy
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    Monofocal Lens
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    Multifocal Lens
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    Toric Lens
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    PRK Lasik
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    Retinal Surgery
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    Contoura Vision
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    Pterygium
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    Dental
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    Teeth Alignment (Fix)
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    Dental Others
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    Crossbite Teeth
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    Overbite Teeth
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    Openbite Teeth
    ","
    Weight Loss
    ","
    Bariatric Surgery
    ","
    Intragastric Balloon
    "]" data-all-dropdown-items-arr="["Pilonidal Sinus","Piles","Rectal Prolapse","Fissure","Fistula","Fecal Incontinence","Constipation","Hemorrhoids","Umbilical Hernia","Hydrocele","Inguinal Hernia","Incisional Hernia","Appendicitis","Gallstone","Hernia","Achalasia Cardia","Acid Reflux Surgery","Large Intestine","Indirect Hernia","Small Intestine","Colonoscopy","Gastric Bypass Surgery","Pain During Intercourse","Vaginoplasty","Labiaplasty","Vaginal Discharge","Laser Vaginal Tightening","Vaginal Dryness","Ovarian Cyst","Hysterectomy","Hymenoplasty","Clitoral Hoodoplasty","Abortion","Hysteroscopy","Pap Smear","Vaginal Rejuvenation","Ectopic Pregnancy","Laser Vaginal Rejuvenation","Vaginal Recurrent Infection","Pelvic Pain","Female Urinary Problems","Lichen Sclerosus","Menstrual Disorders","Preconception Care","Uterine Fibroid","Pcos Pcod","Pregnancy Care","Medical Termination Of Pregnancy","Laser Vaginal Bleaching","Anal Bleaching","Vaginal Wart","Molar Pregnancy","Bartholin Cyst","Miscarriage","Endometriosis","Adenomyosis","Myomectomy","Dilation And Evacuation (D&E)","Polypectomy","Turbinate Reduction","Uvulopalatopharyngoplasty","Adenoidectomy","Myringotomy","Microlaryngeal","Mastoidectomy","Tongue Base Reduction","Tonsils Removal","Deviated Nasal Septum","Eardrum Surgery","Sinus Surgery","Thyroidectomy","Tonsillectomy","Ear Surgery","Sinusitis","Tympanoplasty","Fess Surgery","Stapedectomy","Septoplasty","Tonsillitis","Adenoids","Hearing Problem","Thyroid Infection","Chronic Sinusitis","Recurrent Sinusitis","Subacute Sinusitis","Mastoiditis","Parotidectomy","Nose Surgery","Vocal Cord Polyps","Adenotonsillectomy","Otitis Media","Nasal Polyps","Turbinoplasty","Ear Infection","Ear Hole","Throat Infection","Middle Ear Perforation","Urinary Tract Infection","Urinary Incontinence","Erectile Dysfunction","Urethral Stricture","Stress Urinary Incontinence","Circumcision","Kidney Stones","Male Urinary Tract Infection","Prostate Enlargement","Phimosis","Paraphimosis","Foreskin Infection","Balanoposthitis","Balanitis","Frenuloplasty","Cystoscopy","Cystolithotripsy","DJ Stent","cystolithotomy","Urethral Stricture","pyeloplasty","nephrostomy","Varicose Veins","Varicocele","Diabetic Foot Ulcer","AV Fistula For Dialysis","Deep Vein Thrombosis","Spider Veins","Gynecomastia","Liposuction","Lipoma","Hair Transplant","Sebaceous Cyst","Breast Lift","Rhinoplasty","Breast Reduction","Breast Augmentation","Breast Lump","Hair Loss","Breast Surgery","Axillary Breast","Scar Removal","Abdominoplasty","Double Chin","Buccal Fat","Earlobe Repair","Blepharoplasty","Carpal Tunnel Syndrome","Knee Replacement","Spine Surgery","Hip Replacement","Arthroscopy","ACL Tear","Rotator Cuff Repair","Bankart Surgery","Bankart Repair","Meniscus Repair Surgery","Shoulder Replacement Surgery","Discectomy","Laminectomy","Acdf Surgery","Spinal Fusion","Ligament Injury","Knee Arthroscopy","Shoulder Arthroscopy","Lasik","Cataract","Squint Surgery","Glaucoma Surgery","Retinal Detachment Surgery","Diabetic Retinopathy Treatment","Intravitreal Injections","Vitrectomy","Monofocal Lens","Multifocal Lens","Toric Lens","PRK Lasik","Smile Lasik Surgery","Femto Lasik Surgery","ICL Surgery","Macular Edema","Retinal Surgery","Contoura Vision","Phaco Surgery","Pterygium","Teeth Alignment (Fix)","Dental Others","Crossbite Teeth","Overbite Teeth","Openbite Teeth","Bariatric Surgery","Intragastric Balloon"]">

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      Chronic Sinusitis
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      Urinary Incontinence
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      Urethral Stricture
      Stress Urinary Incontinence
      Circumcision
      Kidney Stones
      Male Urinary Tract Infection
      Prostate Enlargement
      Phimosis
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      Foreskin Infection
      Balanoposthitis
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      Frenuloplasty
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