Polycystic ovarian disease (PCOD) is a common and pervasive endocrine disorder with multiple phenotypes and varied presentations. It starts to appear at 15-25 years of age and it may take years for its clinical presentation to appear. The incidence of PCOD is 4-22%. The symptoms of PCOD include irregular periods, hirsutism, acne, obesity, etc. PCOD is observed as a lifestyle disorder associated with an increased risk of reproductive problems including infertility, recurrent miscarriage, endometrial cancer, late menopause, and metabolic aberrations including insulin resistance, type 2 diabetes mellitus, dyslipidemia, and cardiovascular diseases. Unani concept: The Unani word for PCOD is Marz Akyas Khusytur Rehm. Unani physicians have classified this disease under the following headings: obesity, phlegmatic diseases, amenorrhea, and liver disorders. Unani concept of PCOD is primarily based on the dominance of khilte Brigham (Phlegm). It has been given in Unani classical books that sue mizaj barid (Abnormal cold temperament) of the liver may lead to abnormal production of balgham (phlegm). Ibne Sena and majusi mentioned the causes of ehtebaas e tams(amenorrhea) are khilte Brigham, and sue mizaj barid of reham and same mufarrit (Obesity). Again khilte Brigham is one of the causes of obesity. Due to obesity narrowing of the lumen of blood vessels develops and reduces blood circulation and sue mizaj barid causes an increase in the viscosity of humors. Unani physicians have recommended regular induction of menstruation as one of the treatment modalities applied for women who have developed masculine features suggestive of PCOD. They have given a line of management based on correction of temperament, menstrual regulation by use of emmenagogue drugs, and the local application of herbs to reduce the severity of hair growth, acne, and hyperpigmentation due to PCOD.