The Perur Pateeswarar Temple boasts a rich history dating back to the Sangam period. Inscriptions within the temple suggest contributions and expansions by various dynasties, including the Cholas, Pandyas, Hoysalas, and Vijayanagara rulers. The temple is believed to have been built by the Chola king Karikalan. Over the centuries, the temple has undergone numerous renovations and expansions, reflecting the patronage of different rulers. The temple's historical significance is further enriched by its association with several Tamil saints and poets who have sung its praises in their devotional works. Today, it stands as a testament to the enduring legacy of South Indian art, architecture, and religious devotion.