Abstract: Ovarian follicles undergo various rates of maturation and involution under the influence of hormones. The functional, non-neoplastic and benign cystic ovarian lesions are common in the young age of females. Ovarian cyst are usually asymptomatic and these forms whenever ovary produce too much of estrogen hormone. These are fluid filled sacs inside the ovary which make serious symptoms if ruptured. According to Ayurveda, the ovarian cyst which containing fluid can be equated with Kaphaja Granthi. In this case report, a 27-year-old female patient was presented to the Yakkala Wickramrachchi Ayurveda Teaching Hospital, Sri Lanka with a complaints of lower abdominal pain, back pain and irregular menstruation.