Prostate cancer is the third most common cancer among Indian men, with an estimated 43,000 affected in 2022. A significant challenge is that nearly 43% of patients are diagnosed with metastatic disease, often due to low awareness and the dismissal of early symptoms as normal age-related changes. Increased incidence is noted in older men from urban areas, likely due to longer life expectancy and better diagnostics. Early detection is crucial for treatability and favorable prognosis, highlighting the need for greater public awareness and routine screening.