Tsunade (綱手) is the Fifth and present Hokage of Konohagakure. She took over after Hiruzen Sarutobi died. Along with Orochimaru and Jiraiya, she is one of the Legendary Sannin of Konoha, and currently the only one still alive after Jiraiya's death and Orochimaru permanently sealed. She excels in medical ninjutsu.