Recently, a new alternative method of psoriasis treatment is with the use of live fish called “Doctorfish” (or Garra Fish). This practice of using fish to treat itchy skin was first used in the small towns of Kangal and Sivas in Turkey where they are largely found in the area. Now they are pretty popular in the Asian countries like Japan, Taiwan, Malaysia and most recently, Singapore. These fishes live in warm waters of high temperatures of around 36C. The water condition does not produce enough nutrients for the fish with voracious appetite so they feed well on dead scabby skin of psoriasis sufferers. These fishes will not nibble their healthy skin which will be left to grow. The saliva in the mouths of the doctor fish is the vital element in the treatment .