In Ayurveda, Maharshi Sushruta has describe the term Ashta Mahagada i,e there is a group of 8 diseases which is difficult to cure. Bhagandara is included in Ashta Mahagada by Maharshi Sushruta. Due to the vitiation of doshas, there is formation of Pidaka or Abscess in the perianal region which is the premonitory condition and if the Pidaka or Abscess left untreated results in formation of Bhagandara or Fistula-in-Ano. An Anal Fistula is a common benign anorectal disease which can be of simple or complex type which can be treated without affecting the normal functioning of the Anal sphincters. In complex Fistula-in-Ano, it is difficult for a surgeon to treat because in this case there is more chances of Anal incontinence occurs. IFTAK (Interception of Fistulous Tract and Application of Ksharasutra) is a novel advanced ksharasutra technique which is more convenient to patient by minimizing the duration of treatment, mild post procedural pain and minimum scar marks. In this present study, a 52yr old Male patient consulted in the Shalya OPD of Gopabandhu Ayurveda Mahavidyalaya and Hospital, Puri, Odisha complaining of pain and pus discharge through perianal region for the past 1 year. This case is managed by IFTAK procedure.