Cavitation in Francis turbines negatively impacts performance and causes damage. It occurs when pressure drops below vapor pressure, forming bubbles that collapse upon reaching higher pressure zones. This results in pitting on turbine surfaces from high localized pressures. Remedies include optimizing hydraulic design to reduce cavitation, and developing coatings for wetted parts to prolong maintenance intervals. Cavitation repair involves welding or spraying metallic/non-metallic coatings, with some coatings showing better erosion resistance than stainless steel. Preventing cavitation requires correct turbine design, manufacturing quality, material selection, installation, operation, maintenance, and supplemental air injection into the draft tube.