Keloids are abnormal scars that cause significant emotional and physical distress in patients. Keloid formation is theorized to occur as a result of an imbalance between an increased synthesis of collagen and extracellular matrix and decreased degradation of these products. Inflammatory mediators— namely, transforming growth factor beta have been proposed to influence the dysregulation of collagen remodeling in the scar healing process. Though limited, current knowledge of keloid pathophysiology has guided clinicians to explore novel therapies for keloid prevention and treatment. In addition to conducting research refining the use of common therapies, such as steroids and radiation, clinicians have evaluated the potential of anti-inflammatory and chemotherapeutic molecules to suppress keloid recurrence. Management includes agnikarma procedure which is one of the oldest healing system in alternative medicine dating back thousands of years to ancient India. Among its numerous therapeutic methods, Agnikarma stands out as a distinct and effective technique. Agnikarma is derived from the Sanskrit words “agni” meaning fire and “karma” meaning action. As per Acharya Sushrut basically anginkarm is used in two manner i.e. one for रोग उन्मूलन (diseases cure) and other for pain management. A 28years old male presented with keloid scar on shoulder and complaints with itching. Ayurvedic examination and diagnostic procedures led to the decision to administer Agnikarm therapy through Louha Shalaka. This therapy demonstrated significant improvement in symptoms and healing procedures over three sessions conducted at 15-day intervals. It works by stimulating the body’s natural healing mechanisms and promoting the circulation of vital energy.