Cancer continues to pose a growing public health challenge in India. The prevalence of cancer in the country is currently estimated to be around 2.5 million cases, with over 800,000 new cases occurring each year. However, this number is rapidly rising. By 2025, India is expected to witness approximately 1.57 million (15.7 lakh) new cancer cases annually, reflecting a 12.8% increase compared to 2020. This surge is largely attributed to population growth, urbanization, industrialization, lifestyle changes, and increasing life expectancy. While the rates of cancer deaths are similar between rural and urban areas, they are significantly higher among the less educated population—nearly twice as high in the least educated compared to the most educated. A large proportion of cancer deaths, especially in the middle age group (30–69 years), are due to tobacco-related cancers, with the North-Eastern states of India showing particularly high rates.