The word shirodhara is derived from Sanskrit language shiro (head) + dhara (to flow). Shirodhara is a form of independent snehana procedure, wherein involves gently pouring liquids over the forehead. The selection of the drug and duration depends upon various factors including characteristics of disease, chronicity, involvement of dosha, patient’s prakriti and environmental condition. There are various specialized forms of shirodhara such as Tailadhara, Ksheeradhara, Takradhara, Jaladhara and Kwathadhara. Though classically this procedure is not described under the panchakarma, but it incorporated under snehana karma by the ayurvedic scholars. This procedure can be a poorvakarma to main panchakarma or pradhan karma depending upon the condition of the patient. Shirodhara is classically advised for many diseases like insomnia, attention deficit hyperactivity disorder, anxiety disorders, phobia, depression, essential hypertension and other psychosomatic disorders. The present paper presents the evidence based approach of the classical Ayurvedic procedure “shirodhara”. Apart from this article provides an insight into the probable mode of action of shirodhara.