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Introduction: Chronic spontaneous urticaria (CSU) is a frequent problem encountered by dermatologists where treatment response is often unsatisfactory. This exerts a heightened responsibility on dermatologists to tailor their treatments according to each patient. Aims: The aim of the present study was to evaluate the therapeutic, diagnostic approaches of Indian dermatologists to CSU patients and the need to further generate a base for the creation of Indian urticaria guidelines. Materials and Methods: A questionnaire-based survey was conducted among practicing dermatologists of India. Conclusions: At the end of this questionnaire-based study, we concluded that there is a wide variation in the treatment practices among practicing dermatologists of India.