Polycystic ovarian disease is a lifestyle disorder that has no specific aetiology and manifests as a group of symptoms making its diagnosis difficult. It affects about 30-40% of young girls in their reproductive age in India. The exact cause of PCOS is unknown however it has been linked to hormonal imbalance, insulin resistance resulting in hyperinsulinaemia as well as genetic factors though specific genes have not been identified so far. The sedentary lifestyle, dietary variations, lack of exercise and stress etc. are also the contributory factors. Contemporary and traditional management together can improve this condition. This paper critically reviews the contemporary and ayurvedic perspectives of polycystic ovarian syndrome (PCOS) and recommends adoption of a holistic treatment, good lifestyle with appropriately balanced diet along with Yoga, Pranayam, Meditation and a stress-free living which can prove to be an effective management for PCOS.