It is a very effective treatment modality for the management of piles, fissures, fistula in ano and pilondial sinus etc. The action of Kshar Sutra is due to its cleansing, healing and cutting effect all occuring at the same time, which is brought about by the medicines which are used in manufacturing Ksharsutra. Its effectiveness, reducing the chances of recurrence to almost negligible, and its safety for all age groups and conditions makes it unique.