Kshara Sutra refers to corrosive or caustic thread. Para surgical measures, because they perform the work of incision, puncture, and scarification to relieve derangements of the Tridosha and uniformly affect the diseased part to which they are applied. Kshar Darana, Katuka, Ushna, Tikshna, Vilayana, Shodhana, Ropana, Shoshana, Stambhana, Lekhana, Krimighna. Materials used for preparation of kshara Sutra are Snuhi Ksheer, Apamarga Ksha Haridra powder, Thread Linen Barbour No.20. Recent advances in kshara sutra; Although the standard Apamarga ksharasutra is used successfully in the management of fistula problem in its preparation and use are worth noting modifications in this thread creates many problems during preparation of the thread becomes more difficult disadvantage is that there is a severe pain felt by the patients during the application of the thread few cases, the intensity is so severe that the patients discontinue the therap problems, several researches have been carried out drugs having better actions and acceptability than that of Snuhi latex and Apamarga kshara drugs should be having binding propert veerya activities, and additional beneficial action Kshara is considered superior to all surgical and a possess the following qualities – Tridoshaghna, Saumyata, Dahana, Pachana, . These problems . One of the essential components of this thread is snuhi latex . It coagulates if not used early in summer, so preparation is possible only in limited seasons . The researchers are based on searching for the y on thread, easy availability in bulk, less irritant ), having vranashodhak and vrana ropaka properties, having anti ra, - in –ano, the have put necessity of further . This latex . Collection . Another . In y. To overcome these . These (sheeta -septic and anti- inflammatory