The study was conducted in Koshi Province in Nepal to review the status of ginger, large cardamom and tea through trend analysis and Strengths, Weakness, Opportunities and Threats (SWOT) analysis techniques. The area contribution of ginger in Koshi Province to the nation was found 34.32%, where the contribution on national production was found 36.61%. Productivity of ginger was found in the increasing trend until 2006/07, slightly decreased in 2007/08 and 2008/09, lowered in 2014/15 A.D. The area contribution of Large Cardamom in Koshi Province to the nation was found 90.9%, where the contribution on national production was found 90.8%. Productivity of Large cardamom was in the increasing trend until 2008/09, slightly decreased in 2009/10 and 2010/11, lowered in 2014/15 A.D. The area contribution of Tea in Koshi Province to the nation was found 90.26%, where the contribution on national production was found 96.73%. In 2003/04 productivity of Tea was in the increasing trend until 2013/14, slightly decreased for five consecutive years (2014/15 to 2018/19), lowered in 2016/17 A.D. All the parameters of production status (area, production, and productivity) of these commodities were found increasing in the national context. Results from study clearly revealed that, collection and auction market point establishment, fixation of minimum ceiling/ floor price, value chain alliance and financing strategy and plan development, effective insurance scheme and access to loan mechanism, post-harvest handling practices at the farm level need to be developed to increase the area, production and productivity of these high value commodities in Koshi Province of Nepal which have great prospects and significance in the global markets.