Large cardamom is the major spices crop and an export potential high value crop. Nepal is the largest producer of large cardamom. The review study focuses on the status of the production, marketing, exports and constraints in the large cardamom cultivation in Nepal. The production of the large cardamom is found to be increasing but the productivity was in decreasing trend. The varieties are under the process of registration. The most of the marketing channel is the exporting channel and India is the primary market of export. Some of the value addition processes are missing during processing of the crop. Price volatility and lack of proper technical knowledge are the major constraints observed in the production and trade. Other problems like improper planting material, traditional curing process, susceptible to viral diseases, high custom tariffs and trade taxes in some countries are also the observed problems. Producing of the product with quality standard through technical training and workshop from public and private sector can help in uplifting the large cardamom status of the country.