Anorectal diseases like piles/haemorrhoids, fissure, fistula-in-ano, pilonidal sinus, abscess, Crohn’s disease, anal condyloma etc are common human being diseases these days because of unhealthy food habits and sedentary lifestyle. Ayurveda has different modalities to treat different anorectal diseases according to its exact pathogenesis so that the disease should be eradicated from its root. sushruta has mentioned many lines of treatment including ksharsutra ligation, the minimally invasive treatment for many anorectal diseases. kshar karma(application of alkali ), Agni karma(heat cauterization), shastra karma(operation) and internal medication are described in Ayurveda for anorectal diseases. Ayurveda emphasizes both preventive and curative aspects of the diseases. In Ayu Care Pokhara center we treat all kind of pile’s problem from the root.