ENDOMETRIOSIS IS A CHRONIC GYNECOLOGICAL CONDITION CHARACTERIZED BY THE PRESENCE OF FUNCTIONING ENDOMETRIAL TISSUE OUTSIDE THE UTERINE CAVITY, COMMONLY AFFECTING WOMEN OF REPRODUCTIVE AGE AND PRESENTING WITH SYMPTOMS SUCH AS PELVIC PAIN, DYSMENORRHEA, AND INFERTILITY. DESPITE ADVANCES IN MODERN MEDICAL AND SURGICAL MANAGEMENT, RECURRENCE AND PERSISTENT SYMPTOMS REMAIN COMMON CHALLENGES. AYURVEDA EMPHASIZES UNDERSTANDING DISEASES THROUGH FUNDAMENTAL DIAGNOSTIC PRINCIPLES RATHER THAN RELYING SOLELY ON DISEASE NOMENCLATURE. ONE SUCH CONCEPT IS TRIVIDHA BODHYA SANGRAHA, WHICH INCLUDES SAMUTTHANA VISHESHA (ETIOLOGICAL FACTORS), ADHISTHANA ANTARANI (SITE AND PATHOLOGICAL INVOLVEMENT INCLUDING DOSHA, DHATU, AND SROTAS), AND VIKARA PRAKRITI VISHESHA (CLINICAL MANIFESTATIONS).THIS CROSS-SECTIONAL OBSERVATIONAL STUDY AIMS TO EVALUATE ENDOMETRIOSIS THROUGH THE AYURVEDIC DIAGNOSTIC FRAMEWORK OF TRIVIDHA BODHYA SANGRAHA. WOMEN AGED 20–40 YEARS DIAGNOSED WITH ENDOMETRIOSIS BASED ON IMAGING CRITERIA WILL BE INCLUDED FROM THE OPD AND IPD OF SDM AYURVEDA HOSPITAL, UDUPI. A STRUCTURED PROFORMA INCORPORATING DETAILED HISTORY, CLINICAL EXAMINATION, AND AYURVEDIC DIAGNOSTIC PARAMETERS WILL BE USED TO ASSESS PATIENTS. THE STUDY INTENDS TO ANALYZE ETIOLOGICAL FACTORS, PATHOLOGICAL INVOLVEMENT, AND CLINICAL PRESENTATION IN ORDER TO ESTABLISH A POSSIBLE AYURVEDIC DIAGNOSTIC UNDERSTANDING OF ENDOMETRIOSIS. THE FINDINGS MAY HELP IN DEVELOPING AN INTEGRATIVE DIAGNOSTIC PERSPECTIVE AND PROVIDE A FOUNDATION FOR FUTURE PREVENTIVE AND THERAPEUTIC STRATEGIES.