Ginger (Zingiber officinale) is one of the important spices in the world. Nepal is the fourth largestproducers of ginger in the world, which produced 271.863 MT in 2016. In Nepal, seventy districtsare producing ginger and around 400.000 households are involving in the ginger farming which isthe chief source of the household income. Moreover, ginger has prioritized by several policies andstrategies of the Government of Nepal. This paper examined the production trend and marketaccess of Nepali ginger considering the ginger global market. A diagnostic study of production,value addition, and the marketing system was carried out between the eastern and the western partof Nepal. The secondary information was reviewed and analysed for the study. Likewise, the keyinformant survey was performed for the primary data and information. For Nepali ginger, India isfound constantly top destination. The result of price index suggested that Nepali ginger is losingsignificant potential earning by not having top most lucrative markets for fresh ginger. Moreover,the trend of the export is ever fluctuating and the result showed that trade of ginger to India in termof export is more stable from the western region as compared to the eastern region. The studyfound that the major determinants of ginger market access are quality of ginger produced, valueaddition, level of trade facilitation, and domestic production and the import of India from othercountries.