The great elephant-headed god, Ganesa, is worshipped throughout the length and breadth of South Asia. The remover of obstacles and a symbol of auspicious beginnings, his name is invoked upon the embarkation of any new venture. Ganesa in Medieval Nepal explores the different aspects of the god Ganesha in the Malla age in Nepal. The rise of the tantric cult during the medieval era in Nepal synthesized both Hinduism and Buddhism in the valley of Kathmandu, resulting in the worship of Ganesa, through different symbolic adjectives, by Buddhists as well as Hindus. A complete and informed study of the Ganesa cult, Ganesa in Medieval Nepal has relevance for people in all regions of the world, wherever Hinduism is followed.