Though Nepal is no longer an official Hindu state, most Christian persecution in Nepal comes from radical Hindu groups who want the country to return to Hinduism. Many of the Christians in Nepal are converts from Hinduism, and these converts experience significant pressure from their families and communities. If a family discovers a member is a Christian, the convert might be expelled from their family home or even violently attacked. Also limiting religious freedom are anti-conversion laws and the destruction and forced closure of churches. Churches, where foreigners gather, are treated with more tolerance, though members of some Protestant churches still experience significant pressure. 

Christians who are members of indigenous groups also face persecution. Nepal has a rich diversity of tribes and clans where ethnic cultures, traditions and rituals are seen as very important. Once people convert to Christianity, they stop taking part in many of these traditions and are considered outcasts by the community. They might also be subjected to violent forms of persecution.