An analysis of early postoperative complications and recurrences of the disease was made in 136 patients with epithelial coccygeal canal. A simple method of suturing the wounds was used in 96 patients, in 40 patients Z-plasty was used. The results were estimated by the degree of the pathological process and the individual features of the structure of the sacro-coccygeal area. The results did not differ in patients with simple forms of the disease. In patients with complex form of the coccygeal canal wound abscesses were noted in 9 (34.6%) patients with simple stitching and in 2 (8%) after using Z-plasty. Recurrent diseases appeared in 6 (23.1%) patients after traditional methods of surgery and in 1 (4%) patients after Z-plasty.