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The original article can be found on Narutopedia at Tsunade.


1000px-Byakugō no Jutsu


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Gender Female Female



"Medical Nin" is not in the list of possible values (ANBU, Cooking-nin, Daimyō, Hunter-nin, Jinchūriki, Medical-nin, Missing-nin, Ninja monk, S-rank, Sage, Samurai, Sannin, Sensor, Summon, Tailed beast) for this property.
Medical Nin
"Sannin" is not in the list of possible values (Allied Shinobi Forces, Akatsuki, Root) for this property.

Senju Symbol Senju

Nature Type


  • Strength of a Hundred Heals

yin seal release Mystic Palm justu

Under Construction:

|綱手|Tsunade}} is one of Konohagakure's legendary Sannin. Though celebrated as the world's most powerful Tsunade abandoned the life of the ninja for many years in pursuit of other goals. {{{1}}}, where she uses her strength to crush the village's enemies and her medical knowledge to keep its villagers safe.


During her childhood, Tsunade was spoiled greatly by Hashirama. However, as she grew older, she became well-disciplined and even greatly contributed to Konoha's victory in the Second Shinobi World War.[1]

When she was first introduced, Tsunade was cynical of anyone with dreams, especially those who want to become Hokage, believing that it was a futile dream. This mindset was expressed when Tsunade not only declined the offer of becoming the Fifth Hokage, but claimed that anyone who wanted to become Hokage was a fool.[2] After meeting Naruto, she realises that this cynicism is insulting to the memories of both Dan and Nawaki. After seeing Naruto's conviction to become Hokage and proving her wrong in his ability to learn the Rasengan, she has a change of heart.

Tsunade typically projects a tough demeanour, even when facing great personal difficulty. She readily criticises others for their faults, such as Naruto's immaturity or Jiraiya's perversion, though her habits are rarely any better. Another trait of Tsunade is her monstrous and quick temper. Many fear her because of this, such as Shizune, Jiraiya, and Sakura, the latter of whom has on several occasions warned Naruto on how to behave in her presence.[3] Despite her temper, Tsunade is a reasonable person. She was willing to listen to Pain and even admit Konoha's past faults though he was the one who killed Jiraiya and was threatening her own village.[4] Beneath this tough exterior, Tsunade truly loves her village and its people and will at times show sympathy for others, consoling Shikamaru that, while he failed his mission to return Sasuke to Konoha, all of his team-mates survived.[5] This is also shown when she worked hard in order to help heal Rock Lee, so that he might continue to be a ninja. In life-threatening or important situations that involve putting someone she cares for in danger, she tends to get angry with people who disagree with her plan.



Tsunade is a light-skinned woman of average height with brown eyes and straight, blonde hair. Her hair is waist-length with shoulder-length bangs framing both sides of her face. As a child, she tied her hair in twin short pigtails before becoming Hiruzen's student when she then wore her hair in a high ponytail. As an adult, Tsunade usually ties her hair into two loose ponytails. Some time after leaving the village, she obtained a violet rhombus mark on her forehead similar to her grandmother's, which she uses as a chakra gathering point known as the Strength of a Hundred Seal. It will temporarily disappear when unleashing the conserved chakra and reappear after she has accumulated enough chakra. When she releases the Strength of a Hundred Seal, the diamond mark on her forehead opens out into a seal that usually extends to her jaws. When using the Strength of a Hundred Technique, the markings extend themselves around her entire body.

File:Tsunade full.png

While only in her early fifties, her form is a frail and wrinkled old appearance, more so than her age would suggest. However, she maintains the appearance of her younger self through a unique and constant Transformation Technique. In her prime, the appearance she normally takes, she has a slender frame. Despite being known as flat-chested in her childhood, she now has a rather large bust; 106 centimetres in circumference, according to Jiraiya.[6] Her beauty has been pointed out several times and she's been called the most beautiful kunoichi in the world by several characters.[7]

She often wears a grass-green haori with the kanji for gamble (賭, kake) written in black on the back, inside a red circle. Underneath she wears a grey, kimono-style blouse with no sleeves, held closed by a broad, dark bluish-grey obi that matches her pants. Her blouse is closed quite low, revealing her sizeable cleavage. She wears open-toed, strappy black sandals with high heels and red polish on both her fingernails and toenails. She also wears a soft pink lipstick. She also used to wear her grandfather's necklace in clear view on her chest, before giving it to Naruto.


As one of the Legendary Sannin Tsunade is undoubtedly one of the most powerful ninja that Konoha has ever produced. Greatly admired around the world, Tsunade is reputed to be one of the most powerful kunoichi in ninja history.[7] She is a remarkable combatant and medical-nin and is also hailed as the world's strongest kunoichi,[7] which has lead to many younger kunoichi to look up to her. Jiraiya commented that no one could stand equal to her in terms of combat and medical prowess.[8] Her overall might was even acknowledged by Madara Uchiha, being able to overpower one of the legendary Uchiha's wood clone-Susanoo on her own.[9]

Physical Prowess

File:Tsunade cleaves the ground.png

Tsunade's trademark ability is her immense raw strength, with which she is able to launch her targets several metres with a mere finger flick or create fissures with a single finger jab at the ground.[10] An opponent struck by her attacks could suffer damage ranging from broken bones, ruptured organs, or even death, as Jiraiya learned from his perverted actions in his youth.[11] She was able to obliterate a large portion of Madara Uchiha's wood clone's body with a single punch.[12] She was also capable of cracking the defences of Madara's Susanoo's ribcage with a single punch, bringing it down with a second attack, albeit with A's help. The strength of her physical attack was acknowledged by Madara Uchiha himself to be stronger than the Fourth Raikage, whose lightning infused attacks are known to be extremely strong.[13]

File:Kage attack Madara.png

In battle, Tsunade has displayed great speed, flexibility, and ferocity. She was able to incapacitate Shizune with a quick strike before the latter could react.[14] In her battle with Kabuto Yakushi, she showed enough skills to attack while on the defensive, giving the younger shinobi very little time to react to her attacks.[15] She was also able to use the Body Pathway Derangement technique on him when he thought she was incapacitated,[16] use her feet to counter Orochimaru's sword moments after her hands were bound, and even intercept Manda mid-strike while lifting Gamabunta's sword.[17] Before Mei could react, Tsunade intercepted all five of Madara's flame dragons dissipating them all.[18] Likewise, Tsunade showed herself to be very nimble, able to attack from various angles, even while in mid-air, to effectively pressure her opponents. As a field medical-nin, Tsunade is reputed to be highly skilled in the art of evasion; skills she deems necessary for field medics since their healing abilities would be pointless if they are unable to survive and be the last to die. These are skills and views she instilled in her own disciples.

While a medical-nin normally tries to avoid direct battle, Tsunade's taijutsu has been considered unsurpassed, which she uses mainly to intimidate her opponents from approaching her in order to carry out her primary duties as a medical-nin. When entering battle directly, she is a force to be reckoned with as seen during her assault on Orochimaru and Kabuto, where she single-handedly demolished the the entire landscape while attacking them.

Life Force and Chakra Control


As a direct descendant of the Senju clan, Tsunade inherited an incredibly strong life force and physical energy, granting her great durability, stamina and chakra reserves. At the same time, as also a direct descendant of the Uzumaki clan, her life force is blessed with immense vitality and endurance, giving her the potential for an exceptionally long lifespan and allowing her to survive most otherwise fatal injuries and in most cases continue battling. She also has a high tolerance for physical pain, as she was able to deliver a heavy kick to Orochimaru after being sliced in her shoulder, and stabbed through her chest.[19] Throughout the fight with Orochimaru, she was able to push herself to fight on despite being tired and injured. She was also able to continue fighting with extreme force against Madara's Susanoo army despite being impaled through her abdomen with two Susanoo blades.[20] Even after being bisected, she was still able to survive the ordeal, regain consciousness, summon Katsuyu, and survived long enough to start healing the other Kage, which she completed after she herself was healed by Karin under the orders of Orochimaru.[21]

Due to her heritage, Tsunade was also gifted with immense supplies of chakra. She was able to simultaneously heal a large number of people with the help of Katsuyu over a long period of time, without being fatigued. Even more impressive than her chakra reserves is Tsunade's control. Since at a young age, Tsunade excelled in all forms of chakra manipulation; even able to maintain multiple techniques at once. Her innate talent for it allows her to gather her chakra from any part of her body with such precision and perform any technique to their maximum potential without any wasted chakra or timing. Her signature ability with chakra control is to instinctively amplify her already legendary strength with chakra control to monstrous levels, allowing her to perform feats like causing gigantic craters with a simple punch or kick to the ground, launch Gamabunta's tantō into the air and then guide it down right into Manda's mouth, and she easily shattered Madara Uchiha Susanoo's ribcage,[13] its sword, and later knocking down a complete version of the Susanoo with single punches.[20] This is done by building up and releasing her chakra with precise timing upon impact, making it effortless for her to decimate any target.

File:Tsunade gives Onoki chakra.PNG

The peak of her chakra control, is her ability to form the Strength of a Hundred Seal, which allows her to store massive amounts of chakra on a point on her forehead and then release it; a feat that only Tsunade and her own student have accomplished, further showing the difficulty of it. Upon its release, Tsunade can either use the stored chakra to facilitate the activation of one of her techniques such as the Creation Rebirth and Strength of a Hundred Technique which makes her virtually immortal in battle or simultaneously heal and protect the entire citizens of Konoha from a very powerful attack such as Pain's Shinra Tensei. She is also able to transfer chakra to others as seen when she gave Ōnoki some of her chakra in order to facilitate his large-scale Dust Release: Detachment of the Primitive World Technique.[22]


Transformation Technique

Even though she is in her early fifties, Tsunade's Transformation Technique makes her appear as if she were still in her twenties as Jiraiya noted she was not one to "age gracefully". She readily alters what age she appears in order to avoid her gambling debts.[23] Tsunade's transformation is somewhat different from a normal transformation, as it seems to be permanent, not getting dispelled when she is slashed or injured, and she apparently does not need to exert any effort to stay transformed. She is able to maintain her transformation even while asleep. The transformation dispels when she runs out of chakra from the Strength of a Hundred Seal, reverting her to her natural appearance.[24][25]

Medical Ninjutsu


Much of Tsunade's fame comes from her being able to perform any procedure flawlessly to cure and heal injuries that others would consider impossible or a lost cause. She can do so through the usage of no more than chakra or basic tools. She quickly healed the psychological damage caused by Tsukuyomi upon her return to Konohagakure,[26] fixed the damage done to Rock Lee's spine,[27] and counteracted the effects of the Three Coloured Pills on Chōji,[28] something Chōza stated would have been impossible if she weren't there.[29] Tsunade has also been noted to be capable of making powerful sleeping potions that are also colourless; so much that she is the only one in the world who could spike a drink without a ninja knowing it was drugged.[30]

With her remarkable knowledge of the human body and converting her chakra into electricity, Tsunade is capable of sending electric waves into the opponent's nervous system by striking the back of the neck. This then scrambles the electric signals within them and disrupts the way their body moves, such as attempting to move the right hand would cause the left leg to move instead, and so on.[31] It is unknown if this is Lightning Release. In a similar manner, Tsunade has also shown the ability to use medical ninjutsu adversely and use it to harm, even kill, instead of heal.[32] She can use a single chakra-infused strike to effortlessly cause internal damage or incapacitate a target as she did the latter to Shizune when she tried to stop Tsunade from meeting with Orochimaru. Tsunade is also able to create a chakra scalpel both for surgery and to inflict internal lacerations and even attack the internal organs.

File:Byakugō no Jutsu.png

The most extreme example of her medical prowess is her Creation Rebirth, a technique that makes use of the massive amounts of chakra stored in her Yin Seal: Release to continuously create new cells in her body, healing any wound and even growing back missing organs. It gives her a form of "immortality" in battle that even Orochimaru expressed envy for.[33] However, as cells can only divide and be created a set amount of times, the technique shortens her life-span. Because of the risk associated with the technique, Tsunade only uses Creation Rebirth in extremely desperate situations. This technique is considered as the absolute pinnacle of medical ninjutsu, and Tsunade developed it under the resolution of protecting those dear to her. She also created an extension of the Creation Rebirth known as the Strength of a Hundred Technique, which causes the seal to extend all the way down her body. While this technique is active, any wounds Tsunade receives will heal instantaneously, without the need to make hand seals or even a conscious effort.

She was also able to instantly heal Shikamaru, who was suffering from severe chakra depleting simply by laying her hands on him.[34]

Summoning Technique

File:Tsunade on Katsuyu.jpg

Tsunade can summon slugs of varying sizes, although she has only ever been seen summoning Katsuyu. The slugs' primary abilities seem to revolve around spitting acid and splitting into smaller slugs. Tsunade apparently has a mental connection with Katsuyu, as she was able to get reports and send out messages through Katsuyu during the invasion of Pain. Tsunade can transfer her chakra to a large number of slugs over long distances. By having the slugs spread out and attach themselves to wounded individuals, Tsunade is then capable of healing multiple injuries at different locations simultaneously. This technique proved particularly helpful during the Invasion of Pain which helped Tsunade preserve the life of the villagers even after a devastating attack by the enemy forces.


While normally appearing carefree or short-tempered, Tsunade is a capable leader. A keen thinker, Tsunade is also highly observant and analytical, allowing her to see through most deceptions, and is rarely caught off-guard. Most commonly, Tsunade will choose the best ninja available to construct a team after looking over the assigned mission. In the anime, she was able to analyse and replicate the basic mechanics of Kabuto’s regeneration technique to aid in bettering the chances of Rock Lee's life-risking surgery being a success.[35]

Her intelligence is most renowned as the best in the world for her expertise in all areas of medicine. She has been credited with creating the official medical-nin system and the laws that govern them.[36] She can immediately determine what kind of injuries or illness (physical or mental) a person has from a single glance. In addition to this, Tsunade seems to have a vast knowledge of poisons and herbal medicine, as noted by Chiyo who stated that during the Second Great Shinobi War, Tsunade was the only one capable of countering all her poisons perfectly.[37] She also has remarkable knowledge of the human psyche, as she was able to effortlessly undo the damage to Kakashi and Sasuke's minds inflicted by Itachi's Tsukuyomi in a matter of seconds.[26] Tsunade has also proven to be a very capable teacher, having single-handedly trained Sakura and Shizune and passed on much of her knowledge make them become two of Konoha's best medical-nin and field support.

In battle, she has shown great ingenuity, able to quickly pick up on her opponent's fighting style and battle pattern to better avoid damage and plan her attacks around that. These traits are to keep herself alive in battle so she may heal her team-mates; things she drilled into Sakura while training her.[38] Her mental fortitude is also noteworthy, as she overcame her paralysing fear of blood through willpower alone, something every eyewitness found miraculous.[39]

Other Skills

Tsunade is also well-versed in fūinjutsu, capable of developing an S-rank seal that continuously stores up chakra for various reasons including using the high-level techniques such as the Creation Rebirth technique which she also created. In the anime, Tsunade demonstrated noticeable skill in a variety of other areas, her skill in genjutsu was great enough to bind the immensely strong duo at once.[40] She was also able to use Space–Time Ninjutsu to send one of Katsuyu's divisions to Team Three's location despite the great distance.[41] She is also highly adept in barrier ninjutsu; able to design the Four-Corner Sealing Barrier from scratch, which can be used to seal a tailed beast.

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