The field of pharmacovigilance in Ayurveda is at a pivotal juncture, balancing the ancient principles of holistic healing with the demands of modern safety surveillance. This abstract provides a comprehensive overview of the present status and future trajectories of pharmacovigilance in Ayurveda, shedding light on the challenges faced and the innovations required for enhanced patient safety. Presently, Ayurvedic pharmacovigilance involves a dynamic interplay between traditional wisdom and contemporary methodologies. The abstract delves into the current practices, emphasizing the integration of Ayurvedic principles into the framework of adverse event reporting and monitoring. Looking ahead, it envisions the future of Ayurvedic pharmacovigilance with a focus on technological advancements and interdisciplinary collaboration. In conclusion, we tried to provide a panoramic view of the evolving landscape of pharmacovigilance in Ayurveda, weaving together the threads of tradition and innovation to safeguard patient well-being in the present and the future.