Sacrococcygeal pilonidal sinus is a common disease condition occurring in young adults 26 per 10,0000With male prepondence. Many surgical procedures have been described in literature yet there is no single gold standard procedure on offer. Our study aimed to look for the outcome of limberg flap in patient of primary or recurrent pilonidal sinus. A total of 34 patients with both primary and recurrent pilonidal sinus where operated under spinal anesthesia between January 2017 to October 2020. Of the 34 patients operated 2 developed wound seroma ,1 has wound infection and there was no recurrence. We found limberg flap reconstruction to be safe and a straightforward procedure with low complication rate and low recurrence which is not true for many other surgical procedures described in literature.