A sanitary underwear with a detachably attachable organic pad is illustrated. The underwear comprises a side fastener having one piece adjustable organic pad extending from the front center belly button and passing through the center of the middle crotch area up to the back center to the waistband. The underwear with the organic pad is enabled to absorb leaks, perspiration, menstrual fluids, urinary, and rectum discharges. The underwear promotes fair wages and trade. The organic pad is made of organic cotton, hemp, bamboo, organic terry cloth, jute and any combination thereof. The underwear provides a plurality of benefits including a reduced risk of carcinogens caused by harmful pesticides and chemicals, promotion of sustainable environment, eco-friendliness, enhancement of social responsibility, restricted use of dyes releasing carcinogens, reduced risk of falls and injuries during donning and doffing of the undergarment.