This article discusses the treatment options for pilonidal sinus, a condition that affects the area near the buttocks. The most effective treatment method is still uncertain, but minimally invasive approaches are becoming more popular. The article focuses on a specific technique called endoscopic pilonidal sinus treatment, which involves using a fistuloscope. The authors provide a video tutorial with tips and tricks for performing this procedure, aiming to assist surgeons who are interested in using this technique. Despite positive outcomes reported in a meta-analysis, the endoscopic approach is still not widely used as a primary treatment method. The authors declare no conflicts of interest, and the data supporting their findings are available upon request. [Extracted from the article]