We refer, herewith, to our experience and case numbers in the application of EPSiT (Endoscopic Pilonidal Sinus Treatment) for the cure of fistulized pilonidal cists in paediatric patients. The EPSiT is a minimal invasive procedure, perfected in 2013 and applied on infants as of 2015. From 2018, we treated 19 patients in our Centre with ages ranging from 12 to 18. Our experience is in line with recent literature on the subject, regarding the advantages of this method with reference to minor discomfort in the post-operative phase, shorter hospitalization, recovery time and return to regular daily activities, health (hygiene/health), school, work and sport.