Kshar sutra therapy
Kshar Sutra Therapy —
Ancient Ayurvedic
Surgical Healing
Kshar Sutra is a time-tested Ayurvedic para-surgical procedure mentioned in the ancient texts of Sushruta Samhita. A medicated alkaline thread is used to cut, curette, drain, and heal anorectal conditions — without general anaesthesia, without hospitalisation, and with a remarkably low recurrence rate compared to conventional surgery. At Dwarkesh Surgical Hospital, every Kshar Sutra thread is prepared in-house by Dr. Bhavesh K. Hadiya (MS Shalya Ayu) following classical Ayurvedic protocols.

Why Dwarkesh
Kshar Sutra Stands
Above the Rest
We prepare authentic Kshar Sutra threads in-house following the 21-coat classical protocol — ensuring maximum potency, safety, and healing effectiveness for every patient.
Classically Prepared Thread
21-coat Kshar Sutra made with Snuhi (Euphorbia) Latex, Haridra (Turmeric) & Apamarga Kshara per Sushruta's formula — the gold standard in Ayurvedic surgery.
Proven Low Recurrence
Clinical studies confirm Kshar Sutra gives <3% recurrence for fistula — far superior to conventional surgery's 10–40% relapse rate.
OPD — No Hospital Admission
Performed as a simple outpatient procedure. You arrive, get treated, and return home the same day — no hospital stay, no general anaesthesia.
Transparent, Fair Pricing
Complete session cost explained clearly before treatment begins. No surprises, no hidden charges — ever. Package discounts available.
How Kshar Sutra Treatment Works
A simple, transparent, and pain-managed process — from your first visit to full recovery.
Initial Consultation & Diagnosis
Dr. Bhavesh Hadiya performs a thorough clinical and Ayurvedic assessment. The type, grade, and severity of your condition (piles, fistula, fissure, or sinus) is confirmed through physical examination and, if needed, proctoscopy.
Thread Application (1st Session)
Under local anaesthesia, the medicated Kshar Sutra thread is carefully threaded through the fistula tract or applied around the haemorrhoid. The procedure takes 20–30 minutes. You go home the same day with minimal discomfort.
Weekly Thread Change Sessions
Every 7 days, the old thread is replaced with a fresh one. The medicated thread gradually cuts through, curettes, and heals the tissue simultaneously — approximately 1 cm per week — with no open wound.
Full Healing & Ayurvedic Follow-Up
Once the thread passes through completely, healing is confirmed. You receive an Ayurvedic diet plan, herbal medicines, and lifestyle guidance to prevent recurrence. Most patients are fully recovered and symptom-free within 6–10 weeks.
Why Choose Dwarkesh for Kshar Sutra
Expert Ayurvedic surgical care with authentic materials, zero hidden costs, and genuine patient-first values.
MS Shalya Qualified Doctor
Dr. Bhavesh Hadiya holds a post-graduate MS (Shalya) Ayu — the only recognised Ayurvedic surgical specialisation in India.
In-House Authentic Thread
We prepare our own Kshar Sutra in-house per classical 21-coat protocol — freshness, potency, and efficacy guaranteed.
Private & Comfortable OPD
Fully private procedure room, respectful environment, and compassionate care. Your dignity is our top priority.
Minimal Pain, Fast Recovery
Local anaesthesia, no open wound, and Ayurvedic healing medicines ensure minimal discomfort and quick return to daily life.
Transparent Pricing
All costs — thread, sessions, follow-up — clearly explained before treatment starts. No surprise bills. EMI available.
Custom Ayurvedic Care Plan
Post-treatment diet, herbal supplements, and lifestyle changes personalised for your Prakriti to prevent any recurrence.
Frequently Asked Questions
Everything you need to know before starting your Kshar Sutra treatment at Dwarkesh.
Ready to Heal Without Surgery?
Book your Kshar Sutra consultation today. Natural, proven, and lasting relief from piles, fistula & fissure — right here in Bhavnagar.
Our Surgical Services
Laser Piles Surgery
Advanced laser treatment for piles (hemorrhoids) with minimal pain, no large incisions, and same-day discharge. Safe and effective for all grades of piles.
Learn MoreFissure & Fistula Treatment
Laser-assisted and Kshar Sutra-based treatment for anal fissures and fistulas — no stitches, faster healing, and significantly lower chances of recurrence.
Learn MoreHernia & Laparoscopic Surgery
Minimally invasive laparoscopic hernia repair and general surgeries including gallbladder, appendix, and hydrocele — with small incisions and rapid recovery.
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