^{Introduction: Pilonidal sinus (PNS) is a condition that refers to tract or cavity lying beneath the skin usually of sacrococigeal region, containing hair and is usually associated with repeated infection, discharge and abscess formation. It poses significant morbidity to the patient. Aims and Objectives: The aim of this study was to compare Limberg’s flap procedure with excision and primary repair in the management of sacrococigeal pilonidal sinus disease. Material and methods: This study was conducted in Surgery Department SKIMS Medical College Bemina, Srinagar (J&K) during the period from January 2012 to   March 2015. One hundred patients who were treated for pilonidal disease were eligible for the study. The patients were then randomized into two groups: group I underwent excision and primary closure; group II underwent modified Limberg’s flap procedure. Results: Comparing post–operative data from group I and  group II patients, post–operative complications were lower in group II(Limberg flap)than group II patients(excision and primary closure).Operative time was significantly more in group II patients(p value <0.05) while as hospital stay and time to return work was  significantly lower in group II patients(p value< 0.05). Conclusion: Based on the results of this study, we suggest that wide excision with a modified Limberg transposition flap reconstruction is a very effective and excellent operative procedure for uncomplicated pilonidal sinus.}