Orthopaedic education in India has evolved from traditional apprentice-based learning to a structured and standardized approach. Despite advancements in curricula, inconsistencies persist due to unequal access to resources and variations in training quality across institutions. Premier institutions often provide access to advanced technology, while smaller or rural facilities may lack the infrastructure necessary for comprehensive training. This disparity affects residents’ exposure to specialized procedures and research opportunities. Additionally, the emphasis on research within orthopaedic education remains limited, with challenges including insufficient mentorship and time constraints. To address these issues, it is essential to integrate simulation-based training, particularly in resource-limited settings, to enhance surgical skills development. Furthermore, the implementation of formative assessment methods, such as OSCEs and workplace-based assessments, can provide continuous feedback, improving both practical skills and professional competencies. The integration of emerging technologies like telemedicine, 3D printing, and virtual reality can bridge the gap between theory and practice, enriching the learning experience. Reforms in these areas are necessary to ensure that all residents receive high-quality education, equipping them with the skills needed to excel in a dynamic healthcare landscape. A collective effort from government bodies, institutions, and faculty is required to overcome current challenges, enabling Indian orthopaedic education to meet global standards.