Kshara is a caustic, alkaline in nature obtained from the ashes of medicinal plants. It is a milder procedure compared to surgery and thermal cautery. It is the superior most among the sharp and subsidiary instruments because of performing excision, incision, and scraping. It is versatile because even such places that are difficult in approach by ordinary measures can be treated by Kshara Karma. Kshara Karma is used as the substitute for surgical instruments because they can be used safely on the patients who are afraid of surgery.