In Ayurveda skin diseases are considered in the umbrella of kustha. Kustha is the term given to the group of symptoms accrued in the skin disease. Kustha which are further divided into maha and kshudra kustha, however SHVITRA has not been counted among various type of kustha in brihatrayi later on this has been included under type of kustha but difference between SHVITRA and kustha is based on non-secretary,non-infectious, involvement of twaka ,peculiarity of nidana, asadhya lakshana and chronicity. According to Modern dermatology, SHVITRA can be incorporated into broad heading of leukoderma/vitiligo of unknown aetiology even today. On the face is ranked 17^th by W.H.O. in world’s most disabling (mentally and socially) disease. In Ayurveda no separate description on aetiology is available of SHVITRA, but general aetiology of kustha is to be taken under consideration to understand the etiopathogenesis of the disease. Main reason behind SHVITRA based on Ayurveda pathophysiology is consider due to indulgence of a person in the injudicious dietetics, habit, virudha ahara vihara. It has been widely accepted by all the authors. Acharya charaka has listed the SHVITRA under Rakta pradoshaja vikaar.  According to Asthang Hridya and Asthang Sangraha increased intake of kaphaj aahar-vihaar by mother during pregnancy may lead to appearance of SHVITRA. In Pauranik kala Manusmriti has contraindicated ten families including SHVITRA affected family for marriage, above all factor could be genetic predisposing of SHVITRA (M.N.3).  So, from various Ayurvedic literature Rakta dusti and virudha ahara- vihara, maternal habit of food and life style (during pregnancy) can consider as a causative factor of SHVITRA, but definite cause and aetiology is still unknown. From modern point of view, vitiligo can be treated by many numbers of ways like therapy and surgery but exact aetiology is still unknown. Even VRF (vitiligo research foundation, America) is still working on exact aetiology of vitiligo. In Ayurveda we have to certainly need to generate a sufficient evidence base for pathogenesis of SHVITRA with help of modern science,technologies,and experimental rigours in order for it to gain under global acceptance.Indentification of biochemical marker, could lead to new approach to the prevention and evidence based preventive protocol for  SHVITRA, relation of prakriti assessment also undertaken to consolidate the evidence of such association which exits between Prakriti, Rakta dusti, ahara vihara and manasa nidana of SHVITRA. The Constituent of prakriti present a set of metabolic tendencies, which may be contribute as a trigger factor when combined with factor like environmental, diet, lifestyle in development of SHVITRA.