Kshara, an alkali preparation of plant origin obtained by burning dried parts of a specific plant into ash and processed systematically to use for medicinal purposes. Acharya Sushruta mentioned Kshara as parasurgical procedure and considered as superior among all surgical and parasurgical procedures because of its actions like Chedana,Bhedana, Lekhana ,Tridosha hara property and it can be used in different forms as Pratisaraneeya Kshara, Paneeya Kshara, Kshara sutra, Kshara varti, Kshara avaleha , Kshara gutika and as a Ingredient in indigenous formulations. He preferred parasurgical procedures which are non invasive, cause less pain and require no anaesthesia in treating surgical diseases. When a kshara is used internally it is called as Paneeya kshara . In classical texts it is mentioned that with the help of paneeya kshara the common surgical diseases like gulma (abdominal tumour), udara(ascites),Sharkara, Ashmari(calculi) , Abhyantara vidradhi, Krimi and Arsha etc can be treated without a knife and it is also mentioned kshara can cure the diseases which are difficult to a cure, hence an effort is made to describe the utility of paneeya kshara in surgical diseases.