Nepal, despite its heavy reliance on agriculture, is witnessing a decline in agricultural productivity and an increasing dependence on food imports. This phenomenon, coupled with factors such as land fragmentation and labor shortages, has led to a masked "Silent Green Revolution" reminiscent of past agricultural movements. Agrochemical overuse and over-intensification has raised concerns about the long-term sustainability and health implications of such practices. In this paper I explore interplay between agricultural practices, farmer health, and environmental sustainability in Nepali farming communities. With the help of a translator, I orally conducted a Farm and Farmworker Health Survey in Phoolbari and Baluwa, two villages in the Kavrepalanchok District with both commercial and subsistence farmers. I found that while commercial farmers favored agrochemicals for their cost-effectiveness, subsistence farmers preferred organic alternatives for their safety and sustainability. However, there was a general lack of awareness among farmers regarding the symptoms of pesticide exposure and proper safety measures like Post Harvest Intervals and Personal Protection Equipment, indicating a need for targeted health and procedure awareness programs. Furthermore, the study highlighted the potential health risks associated with agrochemical use, including exposure to carcinogenic heavy metals like cadmium and glyphosate residues. These findings underscore the urgent need for sustainable agricultural practices that prioritize the health of both farmers and consumers. By centering traditional farming methods and indigenous knowledge and implementing initiatives that address occupational safety and provide proper training and infrastructure, Nepal can pave the way towards a more sustainable and equitable agricultural future.