Once the white patch appears and starts to spread then all patients require white patches treatment to be started, this could be in the form of immuno modulators, immuno suppressives, or steriods coupled with narrow band UV therapy or Excimer laser therapy. Gone are the days of taking psoralens and exposing to sun light, with the advent of narrow band uv therapy it is possible to stimulate the melanocytes without taking any medicines using narrow band uv light or excimer laser light.