Incidence of ano rectal problems in present era is gradually increasing because of life style and way of food intake and type of food. Spicy and salty fast food in wrong time will cause constipation, which will further cause fissure and fistula etc.

Many treatment modalities are advocated in different systems of medicine all around the world. Of these, some procedures are effectively addressing the problem but none of them is comprehensive to treat fistula in ano. Ayurveda fills this lacuna with Ksharasutra.

Kshara sutra is a definitive treatment to cure Fistula in ano, fissures and piles described in Ayurveda. It is described in Allopathic text books of surgery also. Because of its effectiveness in treating fistula without recurrence and is free from the complications like incontinence it has got worldwide popularity.