The cleft-lift procedure is the most successful operation for both early pilonidal disease, and for recurrent problems or non-healing wounds. This is the procedure we provide at the Evergreen Surgical Pilonidal Clinic, in Eau Claire, Wisconsin. Most operations for pilonidal disease do not address the depth of the gluteal cleft, which is the cause for the problem. The cleft-lift procedure flattens the cleft, and prevents future recurrences, and is highly successful when done by an experienced pilonidal surgeon.