Physiotherapy education in India is at a crossroads, facing numerous challenges that hinder its progress and impact on healthcare. Despite the significant growth in the number of institutions offering physiotherapy programs, several factors undermine the quality of education and professional development in this field. Key issues include the lack of a central regulatory framework, inconsistent curricula, inadequate infrastructure, and insufficient clinical training opportunities. These problems are compounded by a shortage of qualified faculty, limited research emphasis, outdated teaching methods, and socio-cultural barriers. Additionally, physiotherapy graduates in India face limited job prospects, low salaries, and unclear career progression, which contribute to a brain drain of talented professionals seeking opportunities abroad.   This article highlights the urgent need for a comprehensive overhaul of physiotherapy education in India, emphasizing the establishment of a national regulatory body, enhancement of educational standards, integration of modern technologies, and fostering of a more inclusive and supportive professional environment. Addressing these challenges is critical for producing competent physiotherapists who can meet the evolving healthcare needs of India and contribute to the global physiotherapy community.