The EPSiT-laser (Endoscopic Pilonidal Sinus Treatment – laser) technique is the most advanced, minimally invasive endoscopic approach for treating pilonidal cysts in children and adolescents. Compared to the classic open procedure, EPSiT-laser offers significant advantages: minimal to no postoperative pain, tiny incisions only a few millimeters wide, rapid healing with no need for painful dressing changes, excellent cosmetic results, and a quick return to daily activities.