Over time, Posham Pa evolved into a sophisticated art form, with artisans developing unique techniques to weave, knot, and manipulate threads to create stunning designs. The art form gained popularity during the Vijayanagara Empire, when it was patronized by the royal court and used to adorn temples, palaces, and other sacred spaces.

In addition to its spiritual significance, Posham Pa is also an important part of Indian folk culture. The art form is often used to decorate homes, especially during festivals and special occasions. In some parts of India, Posham Pa is also used to create traditional clothing, such as saris and dhotis.

The art form has also gained international recognition, with Posham Pa artists showcasing their work at exhibitions and festivals around the world. This exposure has helped to promote Posham Pa and encourage a new generation of artisans to learn and adapt this traditional art form.