The present case report was a 36-year female with lesion on the right side of inner lower lip and diagnosed as pyogenic granuloma occurring at an unusual site. The presently available treatment for pyogenic granuloma is surgical excision which might delay the wound healing due to complications such as intraoperative bleeding and post operative infection. Other treatment modalities such as cryosurgery, CO2 and Nd:YAG lasers, flash lamp pulsed dye lasers, surgical ablation, and radiation may not be affordable for many patients. In our present study, the Siddha para-surgical therapy chuttigai (cauterization) was performed and the case was followed up for 30 days. The intervention was found to be as a simple, inexpensive therapy effective in treating small superficial pedunculated vascular lesions with no blood loss or no need of hospitalization.