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On 5 January 2017, Pinilla returned to Genoa on a loan with an obligation to buy, replacing Leonardo Pavoletti who left to join S.S.C. Napoli.

On 21 July 2017, aged 33 and ten years after last leaving the club, Pinilla terminated his contract with Genoa and returned to Universidad de Chile.

Pinilla was a member of the squad which won the 2015 Copa América on home soil for their first continental honour, making brief appearances in two games. On 29 March 2016, he and Arturo Vidal scored twice each in a 4–1 away win over Venezuela in qualification for the 2018 World Cup.

Whilst at the service of Atalanta BC, on loan, Pinilla scored arguably one of the best goals of the season in Italy on 4 April 2015, after netting through a bicycle kick in a 1–2 home loss to Torino FC. He added a further five during his five-month tenure, being crucial as his team narrowly avoided relegation as 17th.

Pinilla was selected to the squad of 23 for the 2014 World Cup in Brazil. He made his debut in the tournament on 14 June, playing two minutes in a 3–1 group stage win against Australia and being involved in Jean Beausejour's goal. Again from the bench, he appeared in the round-of-16 against the hosts: his 119th minute shot hit the bar with the score at 1–1, and he later missed his penalty shootout attempt in an eventual elimination.

On 2 July 2012, Pinilla joined Cagliari on a permanent basis. Two years later, after an average of seven league goals per season, he moved to Genoa C.F.C. on a 2+1 years contract.

On 11 September 2011, in the season's opener, Pinilla was brought from the bench to score the 4–2 for Palermo against former club Inter, in an eventual 4–3 home win. On 25 January of the following year he was loaned to fellow league side Cagliari Calcio, with the Sardinians having the option of making the move permanent in June.

In June 2010, U.S. Città di Palermo announced the signing of Pinilla. He scored five league goals in his first 12 games, being an important attacking unit in a team that also comprised forwards Abel Hernández, Massimo Maccarone and Fabrizio Miccoli.

Subsequently, Pinilla announced his decision to retire from the international scene. In August 2010 he returned to the team, being recalled by manager Marcelo Bielsa for a friendly with Ukraine. He was also picked for a game against Uruguay later in November of the following year, only to be called off due to injury.

Pinilla returned to Italy in August 2009, joining Serie B's F.C. Grosseto S.S.D. on a free transfer. At the Tuscan club, his once promising career got back on track, as he scored 24 goals in 24 games – including a series of 12 consecutive matches netting, a competition record – and finished the season as the second best scorer despite missing more than a third of the campaign through different injuries; his performances subsequently ensured him interest from several Italian top division clubs.

On 9 January 2008, it was reported that Pinilla had sustained another injury in training that sidelined him for the rest of the campaign. On 6 May, his agent stated that he had signed a deal which would keep him at Hearts until 2011, after his contract with Inter expired the following month. However, on 1 July, Hearts announced that they had released the forward from his contract.

In early September 2008, Pinilla joined Brazil's CR Vasco da Gama, signing a contract until the end of the season. He played his first match with new club in a 0–1 away loss against Clube de Regatas do Flamengo, in a derby.

Pinilla returned to Hearts for pre-season training ahead of the 2007–08 season, with Hearts buying out Sporting's half of his rights. However, his return to playing football with Hearts had a major setback when it was revealed the player had a fractured scaphoid wrist bone, a hidden injury sustained while still in Chile. This put him out of action for a six further weeks.

Pinilla made his debut for Chile in 2003, and led his country's scoring during the 2006 FIFA World Cup qualifiers with three goals. However, on 27 February 2007, whilst on loan to Universidad, he was caught in a hotel with María José López, the model wife of national team captain Luis Antonio Jiménez. The two players later encountered each other in a Santiago nightclub, which led to Pinilla's admission to hospital with head trauma and neck injuries.

However, he was also unable to settle at Sporting and, on January 2006, would move on loan, finishing the 2005–06 campaign at Racing de Santander. On 26 February 2006 he netted his only goal for the Cantabria team, a penalty kick in a 2–2 away draw against Deportivo Alavés.

In 2006–07, Pinilla was once again loaned, now to Heart of Midlothian. His time with the Edinburgh club was beset by injuries, resulting in him only playing a handful of times for the first team; in February 2007, he returned to Universidad de Chile.

In July 2004, Sporting CP bought 50% of his playing rights and Pinilla, having spent much of the season on a low note, finished it with five goals, notably a hat-trick in a 3–0 win at S.C. Braga on 1 May 2005.

A Chilean international since 2003, Pinilla represented the country at the 2014 World Cup and two Copa América, winning the 2015 and 2016 editions of the latter tournament.

Born in Santiago, Pinilla started his career with Club Universidad de Chile, leaving for European football and Italian giants Inter Milan in 2003 after signing a five-year contract.

However, he was immediately sold to fellow Serie A club A.C. ChievoVerona (which acquired 50% of the player's rights), and finished the 2003–04 season on loan again, to La Liga side RC Celta de Vigo, not managing to score in 12 league appearances combined.

Mauricio Ricardo Pinilla Ferrera (born 4 February 1984) is a Chilean professional footballer who plays for Coquimbo Unido as a striker.