A simplified approach to the surgical treatment of hidradenitis suppurativa of the groin and perineum is presented. All tissue is excised down to the fascia, and the wound is allowed to granulate and epithelialize spontaneously.

The advantages of the procedure are (1) a simple surgical technique, (2) easier postoperative care, (3) full and early ambulation, (4) no donor sites, (5) no losses of skin grafts, (6) early discharge from the hospital, and (7) early return to work.

©1976American Society of Plastic Surgeons