In Ayurveda’s own country, the ancient healing system continues to face an uphill battle in gaining mainstream acceptance. Despite Kerala’s global reputation as the cradle of Ayurveda, locals remain largely hesitant to embrace it for primary healthcare needs. Modern medicine still dominates patient preference, driven by quicker results and stronger institutional infrastructure. Experts cite the lack of standardization, insufficient research data, and limited insurance coverage as key barriers to Ayurveda’s broader adoption, even as the state government and practitioners strive to modernize and promote the traditional system both locally and internationally.