Tsunade

Biodata

Feature	Details
Name	Tsunade (纲手)
Alias(es)	Lady Tsunade
Gender	Female
Title	One of the Sannin 222 254
Affiliation	Otogakure hospital and Ninja Academy; formerly associated with Konoha 222 243 325
Occupation/Role	Medical ninja; medical-ninjutsu instructor 248 325
Status	Active 424
First Appearance	Chapter 26

Background

After the Third Hokage's death, Tsunade visited his grave in Konoha. She dismissed the Will of Fire as something used to fool children, refused Jiraiya's request to stay, and resumed traveling with Shizune. The losses of Nawaki, Dan Katō, and her teacher remained central to her grief. 222

Tsunade first encountered Naruto while Naruto was transformed as C.C. in a gambling house. C.C. used Wind Release to expose and counter the casino's cheating, helping Tsunade recover her money; Tsunade immediately wanted to learn gambling techniques from her. 26

Appearance

Tsunade is a blonde woman whose usual youthful appearance previously concealed physical aging. Naruto later used the power of her Three-Tomoe Rinnegan to restore Tsunade's body to genuine youthful vitality, leaving her physically nineteen years old. 304

• Usually wears Hashirama Senju's chakra-crystallized pendant. 246
• Can reveal a visibly aged appearance with gray-yellow hair, wrinkles, and age spots. 304
• Is noted for her imposing physical presence and exceptional strength. 254 303

Personality

Tsunade is fiercely proud, blunt, and quick to answer provocation with violence. When Yoru called her an “old lady,” Tsunade punched through a Sage Chakra-reinforced bone protecting Yoru's head. 254

Her confidence is consistently undermined by an extreme gambling addiction. She repeatedly insists that she is about to win big despite habitual losses, accumulating enormous debts and earning the gambling houses' nickname “Hot-blooded Fat Sheep.” 239 337

Beneath her temper and gambling habit, Tsunade remains a committed healer. She accepted the risk of confronting her trauma to save Nagato, then performed the surgery needed to preserve his life. 246 248

Abilities & Skills

Medical Ninjutsu

Tsunade is regarded as the strongest medical ninja and is capable of treating severe, life-threatening injuries.

• Removed Nagato's necrotic and diseased internal tissue during emergency surgery. 248
• Directed Naruto to use Nine-Tails chakra to regenerate Nagato's removed organs during the operation. 248
• Teaches medical ninjutsu at Otogakure's Ninja Academy with Shizune. 325
• Her agreement with Naruto requires her to train one hundred medical ninja to clear her debt. 337

Chakra Scalpel

Tsunade can coat her hand in chakra and wield it as a precise cutting instrument.

• Used a chakra-covered hand as a scalpel during Nagato's surgery. 248
• In Naruto's game world, used Chakra Scalpel offensively to kill Bucktooth Rabbits while carefully managing chakra and stamina. 390

Physical Strength

Tsunade's strikes are powerful enough to overwhelm even durable opponents and structures.

• Her punch cracked Yoru's Sage Chakra-strengthened bone defense. 254
• After using eighty percent of her strength against Naruto, her assault collapsed a restaurant. 303

Hemophobia

For years, Tsunade's fear of blood prevented her from fighting or performing medical work effectively. 236 246

• Naruto and Mikoto used Sharingan genjutsu to make Tsunade confront the deaths of Dan Katō and Nawaki. 247
• After the ordeal, Tsunade could see and heal Naruto's bleeding wrist without fear. 247
• She confirmed that her hemophobia had been cured after successfully operating on Nagato. 248

Equipment / Items

• Hashirama's pendant — A piece of jewelry formed from the First Hokage's Wood Release chakra. Tsunade calls it a “death pendant” because Nawaki and Dan Katō died shortly after she gave it to them. 246
• Game equipment — In Naruto's game, Tsunade obtained a Bunny Girl Outfit, Bunny Girl Gauntlets, rabbit ears, explosives, and an Inferior Soldier Pill. 391

Relationships

• Naruto Uzumaki — Initially met Naruto through her C.C. transformation at gambling houses. Naruto became Tsunade's creditor, sought her surgical help for Nagato, and later became her lover. 26 240 246 372 424
• Shizune — Tsunade's longtime traveling companion and medical assistant. Shizune supports her during gambling trips and helps teach Otogakure's medical students. 222 325
• Jiraiya — Fellow surviving Sannin. Jiraiya asked Tsunade to return to Konoha after the Third Hokage's death; later, Tsunade revealed that she was in love, implying Naruto was her lover. 222 424
• Nagato — Tsunade performed the surgery that saved his life after Naruto brought him to Otogakure. 246 248
• Mikoto Uchiha — Assisted Tsunade's recovery from hemophobia by placing her under Sharingan genjutsu. 247
• Yoru — Their interactions are combative but playful; Tsunade severely punished Yoru for calling her an old lady. 254

Story Role / Major Arcs

Gambling Encounters

Tsunade repeatedly meets Naruto while gambling, first while Naruto is disguised as C.C. and later in Kumogakure. Her losses there leave her owing Naruto seventeen million Ryo. 26 240

Otogakure Debt Arrangement

Unable to repay Naruto, Tsunade is brought to Otogakure and assigned hospital work. Her hemophobia initially renders her unable to fulfill the role, leaving her as a patient instead. 243

Nagato's Surgery

When Nagato is critically injured, Naruto challenges Tsunade to confront her hemophobia through genjutsu. Tsunade overcomes the fear and successfully performs emergency surgery, with Naruto providing regenerative Nine-Tails chakra. 246 248

Medical Education

Tsunade and Shizune train Otogakure's next generation of medical ninja. Naruto promises to forgive Tsunade's debt once she has trained one hundred of them. 325 337

Relationship with Naruto

Tsunade's bond with Naruto grows beyond their creditor-debtor arrangement. They share an intimate encounter, and Tsunade later tells Jiraiya that she is in love. 372 424

Notable Quotes

“What Will of Fire? In my opinion, it's just something to fool children.” 222

Trivia

• Tsunade's in-game username is “Not a Medical Ninja.” 418
• She wore a Bunny Girl Outfit in Naruto's game despite finding its exposed design and high heels deeply uncomfortable. 391