Ayisha presents a heartfelt and poignant story that is both engaging and emotionally resonant. The screenplay is structured to gradually build the emotional stakes, with a well-paced first half that establishes characters and context effectively. The second half intensifies the drama, though some sequences tend to linger, slightly affecting the overall pacing.

The film's content is rich in cultural nuances and social commentary, which adds depth to the narrative. The songs and background score composed by M. Jayachandran complement the mood well, enhancing key moments without overpowering the scenes. Cinematography by Vishnu Sarma captures the essence of the setting with a naturalistic style that supports the storytelling.

While the music and BGM elevate the emotional tone, the screenplay occasionally falls into predictability, which may affect viewer engagement. Nevertheless, the director Aamir Pallikkal manages to maintain a balanced tone throughout, ensuring that the film's message is conveyed effectively without becoming overly didactic.

Manju Warrier: Delivering a nuanced and powerful portrayal, Manju Warrier anchors the film with emotional depth and authenticity.

Radhika: Offers a solid supporting role with convincing emotional expressions and presence.

Krishna Shankar: Provides a restrained and effective performance that complements the lead.

Shamsudheen Mankarathodi: Adds subtlety and realism to the narrative through his grounded portrayal.

Fathimath Latheefa: Delivers a sincere and heartfelt performance in her supporting role.