Surgery for pilonidal disease (PD) often is followed by an unpleasant postoperative course that restricts school and social activities. We performed a retrospective medical record review to evaluate the outcome of the Gips procedure on 19 adolescents with PD. We recorded each patient's age at surgery, surgical history, symptoms, duration of operation and hospital stay, time to return to activity, wound healing time, and recurrence. Our review demonstrated that the Gips procedure is an easy-to-use technique in adolescents with PD and had a high success rate. Furthermore, it is less restrictive on school and social activities than traditional surgical therapies.