A recent estimate has found that one in two individual suffers from piles at some point in their lives. One of the most successful Ayurvedic technique used for treating fistula is the Kshar sutra therapy. Kshar sutra therapy is an Ayurvedic Para surgical Technique, which is used to cure Ano-Rectal diseases like Piles, Fissure, Fistula and Pilonidal Sinus with the most comfortable, non-surgical and convenient technique. Kshar Sutra Therapy is a non-surgical treatment, and in most of the cases, it can be carried out on the same day as of the examination. It is a process in which a medicated thread is inserted and tied across the fistula. The technique involves the tightening of the knot over a period of time and the pus getting discharged over the same period. This also slowly cuts the entire diseased part. Since the thread is medicated it simultaneously acts as a healing mechanism. There are several advantages of using this technique. It is an outpatient Treatment. The treatment is performed mostly under Local anesthesia. Only 30- 45 minutes is required for the procedure. Hospital stay is very less. Patient can resume his / her daily routine within 3 to 5 days. The recurrence rate is very less after Kshara-sutra Therapy for Piles Treatment. The therapy is, however, painful and a local anesthesia is given when the treatment is undertaken. Kshar sutra treatment costs are very minimal and they cost about INR 15,000 for a complete treatment.