How much does pilonidal sinus surgery cost in Saudi Arabia?
Cash range at Mohammad Dossary Hospital, 2026: 5,000 – 9,000 SAR
Usually day-case; the wound care afterwards matters more than the stay.
The pilonidal sinus is a small operation with a big reputation for coming back — which is why its price follows the technique and the aftercare, not the size of the wound. At Mohammad Dossary Hospital, traditional surgical excision sits at 5,000–7,000 SAR and laser ablation of the tract (SiLaC), where the sinus suits it, at 7,000–9,000 SAR. Which fits you is decided by the examination: a first-time, limited sinus is a different problem from a recurrent, branching one.
What moves this figure
- Technique — open excision, closed excision, or laser ablation.
- First operation vs a recurrence after previous surgery.
- Size and branching of the sinus tracts.
- Wound-care plan afterwards — dressings and reviews are part of the result.
What the range usually includes
The surgeon's and anaesthetist's fees, theatre and the hospital stay, the pre-operative tests, standard medicines and dressings during the stay, and the first follow-up. It does not include intensive care, extra nights, or treatment of unrelated conditions — anything of that kind that becomes necessary is discussed with you as it arises, never discovered afterwards.
Questions patients ask us
Can a pilonidal sinus heal without surgery?
An acute abscess settles with drainage and antibiotics, but the sinus itself — a tract lined with hair and debris — does not close permanently on its own; it tends to refill and re-infect. Definitive treatment is an operation; which one depends on the map of the tract.
How long before I can sit and work normally?
Most patients are back at desk work within days, sitting carefully at first; the wound's position makes the first week awkward rather than dangerous. Full healing takes weeks, and the follow-up visits are where problems are caught early — keep them.
Most of our patients have their operation covered by insurance: medically necessary surgery — gallstones with symptoms, hernia, appendicitis — is generally covered after approval, with your co-payment set by your policy. Cosmetic and some bariatric indications are commonly excluded or need special approval. Send us your policy on WhatsApp before you book and we will tell you honestly what can be arranged. Self-pay patients receive the same written quotation; day-case timing, when safe, sits at the lower end of every range here.
The final figure always depends on several things: how advanced the condition is, the type of operation and the technique used, the instruments and devices the operation needs, the hospital, the surgeon, and the length of stay — which is exactly why your own figure is confirmed in writing, for your case, before you decide.
Cash ranges set by Dr Tamer Elalfy for Mohammad Dossary Hospital, November 2026. Every range includes the hospital stay and the pre-operative tests; where you sit inside it depends on your condition. Your exact figure is confirmed in writing at consultation — and that confirmation is free.