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Ayurveda has often been labeled a pseudoscience due to a lack of understanding regarding its principles, which are difficult to translate into mainstream medical terminology. Furthermore, there have been controversies due to a few biased and flawed studies that claim some of the metals it uses are toxic and cause other side effects.1,2 The lack of randomized, controlled trials has only increased the public’s distrust. This paper attempts to address these challenges by introducing the concepts of Ayurveda and comparing it with mainstream medicine in order to bring to the readers’ notice the pros and cons of both forms of medicine. The paper begins with an analysis of the different approaches in the understanding and treatment of a disease in Ayurveda and mainstream medicine. This is followed by studies supporting the efficacy of the herbs used in Ayurveda. Next, the use of metals in Ayurveda and its purity is discussed. Finally, this paper mentions the lack of quality control and regulations in Ayurveda and the steps being taken to address this issue. The paper concludes with an argument for the integration of Ayurveda into mainstream medicine.