Tsunade

Biodata

Feature	Details
Name	Tsunade (纲手)
Alias(es)	Princess Tsunade; one of the Legendary Sannin; Fifth Hokage 101 125 131
Gender	Female
Affiliation	Konohagakure 101 131
Occupation/Role	Fifth Hokage; medical-ninjutsu specialist; Naruto Uzumaki's direct superior jōnin and mentor 121 131
Status	Active; serving as Konoha's Fifth Hokage 262
First Appearance	Chapter 116

Background

Tsunade is Hashirama Senju's granddaughter and Mito Uzumaki's granddaughter, linking her to both the Senju and Uzumaki bloodlines. Mito's rare ability to sense goodwill and malice is later compared to Naruto's Good and Evil Perception. 121 123 140

She served alongside Jiraiya and Orochimaru as one of Konoha's Legendary Sannin. The deaths of her younger brother Nawaki and her lover Dan Katō left her unable to face blood despite her past ability to save multiple dying jōnin on the battlefield. 101 117 122

After Hiruzen Sarutobi's death, Orochimaru approached Tsunade in Tanzaku Town with an offer: he would resurrect Dan and Nawaki through Impure World Reincarnation if she healed the damage to his hands. Tsunade refused to commit to his terms and later revealed that she intended to settle the matter with him directly. 116 122

Appearance

Tsunade is a blonde kunoichi whose youthful appearance is striking enough for Jiraiya to remark that she has no wrinkles. As Fifth Hokage, she wears the white Hokage robe marked with the Will of Fire emblem. 117 131

• Blonde hair 118
• Maintains an unusually youthful appearance 117
• Uses a forehead-stored Yin Seal to release additional chakra in battle 119

Personality

Tsunade initially presents herself as a heavy drinker who values freedom over administration and sees the Hokage position as a high-risk burden. Naruto's challenge exposes her fear of repeating the losses associated with Konoha's leadership. 117 118

She is fiercely prideful and quick-tempered, especially when called “granny.” Her anger, however, does not prevent her from judging others fairly: after losing her wager with Naruto, she honors the agreement and returns to Konoha. 118 121

As Hokage, Tsunade is decisive, protective, and unwilling to conceal serious wrongdoing for appearances. She supports Naruto against Danzō, investigates Root's crimes, and refuses the elders' attempts to handle Danzō's punishment internally. 140 154 155

Abilities & Skills

Medical Ninjutsu

Tsunade is regarded as the strongest medical ninja in the shinobi world, with a medical system considered vital to Konoha's postwar reconstruction. 101

• Used the Mystical Palm Technique to treat Kakashi and Sasuke's mental injuries, allowing both to awaken before nightfall. 125
• Performed a high-risk operation on Rock Lee despite only a 50% success rate. 125
• Studied forbidden jutsu records, historical failed cases, and surgical data throughout the night before Lee's surgery. 125
• Personally offered to train Karin in medical ninjutsu after granting her Konoha residency. 123
• Entrusted Naruto with her personal medical-ninjutsu system, including Mystical Palm, Chakra Scalpel, Monster Strength, Heavenly Foot of Pain, Yin Seal, and Strength of a Hundred. 213

Monster Strength

Tsunade concentrates chakra for explosive physical force, allowing her punches and kicks to devastate terrain without relying on conventional ninjutsu.

• Her Monster Strength punch created a crater roughly ten meters wide in Tanzaku Town. 118
• She dispersed Naruto's Rasengan through a direct clash with a chakra-enhanced fist. 119
• Her attacks are powerful enough to destroy walls and heavily damage surrounding streets when they miss. 118
• Naruto later learns the technique from the system she provides him. 213

Heavenly Foot of Pain

A chakra-enhanced axe kick developed by Tsunade.

• Split a stone wall apart when Naruto evaded it. 118
• Was included among the high-level taijutsu techniques in her medical-ninjutsu scroll for Naruto. 213

Yin Seal and Strength of a Hundred

Tsunade can draw on the stored chakra of her Yin Seal to boost her combat abilities. 119

• The Yin Seal gradually stores excess chakra at the center of the forehead. 213
• Strength of a Hundred releases the accumulated chakra for automatic regeneration without hand seals. 213
• Tsunade considers these techniques among her greatest secrets and shares their complete training methods with Naruto. 213

Relationships

• Naruto Uzumaki — Initially accepts his wager to compel her return to Konoha; later promotes him to her personal jōnin, mentors him in medical ninjutsu, and prepares him to succeed her as Hokage. 121 213 236 261
• Jiraiya — Former teammate, fellow Sannin, and old friend. He recommends her for the Hokage position and later becomes an elder under her administration. 101 117 262
• Shizune — Her close companion and assistant, who travels with her, worries over her safety, and helps manage Hokage office affairs. 117 121 145
• Karin — An Uzumaki survivor whom Tsunade grants legal status in Konoha; she offers to teach Karin medical ninjutsu personally. 123
• Hashirama Senju — Her grandfather. Tainted use of Hashirama's cells by Danzō enrages Tsunade and drives her to pursue Danzō's punishment. 140 154
• Mito Uzumaki — Her grandmother and Konoha's first Nine-Tails jinchūriki; Naruto's Good and Evil Perception resembles Mito's innate sensory ability. 121
• Dan Katō — Her deceased lover. Orochimaru attempts to exploit Tsunade's grief by offering to revive him. 116 122
• Nawaki — Her deceased younger brother; his death, alongside Dan's, contributed to Tsunade's fear of blood. 116 122
• Orochimaru — Former comrade whose offer to restore Dan and Nawaki in exchange for healing his hands Tsunade rejects. 116 122
• Shimura Danzō — Political adversary. Tsunade supports Naruto against him, investigates his crimes, orders his arrest, and declares that he will face public execution once the investigation is complete. 136 140 154 155

Story Role / Major Arcs

Search for Tsunade

Jiraiya and Naruto locate Tsunade in Tanzaku Town, where she is drinking while considering Orochimaru's offer. Jiraiya asks her to return as Fifth Hokage, but she initially refuses. 116 117

Naruto challenges her to a wager: if he wins, she must return to Konoha, become Hokage, and accept him as her direct subordinate. Tsunade fights using Monster Strength, Heavenly Foot of Pain, and part of her Yin Seal's power, but Naruto's speed, tactics, and Rasenshuriken force her to concede. 118 119 120 121

Fifth Hokage

Tsunade returns to Konoha, agrees to establish Karin's legal identity, and begins handling the transfer of power. She treats Kakashi and Sasuke, then undertakes Rock Lee's dangerous surgery. 123 125

She formally becomes the Fifth Hokage and promises Konoha's citizens that she will protect the village. 131

Danzō and Root

As Hokage, Tsunade supports Naruto's plan to reveal his lineage as Minato Namikaze's son and backs him during his confrontation with Danzō. 133 136

After learning that Danzō possesses Hashirama's cells and stolen Sharingan, she orders an investigation. When Danzō is captured following the kidnapping of Ino and Iruka, Tsunade orders his imprisonment, strips him of his elder position, and pursues public accountability for his crimes. 140 154 155

Preparing Naruto for Succession

Tsunade recognizes Naruto's mastery of Kurama's chakra as strength comparable to Hashirama's and considers him capable of becoming Hokage immediately. 145

She later gives Naruto her complete medical-ninjutsu system and begins teaching him Konoha's administrative processes, departmental operations, and Hokage responsibilities. 213 236 237

Tsunade eventually announces that Naruto will become the Sixth Hokage in six months, citing his overwhelming power and readiness to lead. 261

Notable Quotes

“Starting today, I will officially assume office as the Fifth Hokage of the Hidden Leaf Village.” 131

“Just one sentence: I've got this village covered.” 131

“If that old bastard really does that, I'll protect you with everything I've got!” 140