Surgical treatment of lipomas is considered when they are painful or unsightly. Surgical management can sometimes be tricky, and surgeons must keep in mind the potential risk of malignancy with large tumours. The present case was of a 46-year-old male with a giant lipoma with a neck on right buttock. Kshara Sutra thread ligation was performed in an outpatient department under local anaesthesia. No internal medication was given for wound healing or infection control. No stitches were taken. The lipoma was cut and removed on the third day without any post-operative complications such as infection, severe pain, or bleeding. Kshar Sutra treatment can be a safe, alternative herbal treatment for lipoma with the neck.

Multiple treatments have been described for fistula-in-ano; however, the ideal treatment remains elusive. The treatment of fistula-in-ano is a tightrope walk between preserving continence and preventing recurrence. A 70-year-old male patient from Mumbai (India) was suffering pilonidal sinus along with fistula-in-ano for 3 years. Kshar Sutra thread was used for the treatment. No internal medication was given for wound healing or infection control. There were no complications, such as infection, severe pain, or severe bleeding, and incontinence after the procedure. The patient was completed cured and is disease free for the last 5 years. Kshar Sutra is an effective treatment without any complications with complete healing.