Ayurveda is an ancient science of life since the time of immemorial. In Ayurvedic classics, there is two types of treatment for all diseases, either with use of aushadhi (medicines) or by use of surgery. In Shalya Tanra, there was description of eight types of shastra karmas to perform shalya karma but poorva karma should be done before any surgical procedure and this poorva karma is known as preoperative management in Ayurveda. If poorva karma is performed properly and timely, this results in great success of any surgery and complication free postoperative period. The surgeon does not get defamed even after death of patient during procedure if poorva karma is performed properly with time.