Quarkonium production in ultra-relativistic collisions plays a crucial role in probing the existence of hot QCD matter. This study explores quarkonia states dissociation and regeneration in the hot QCD medium while considering momentum anisotropy. The net quarkonia decay width (ΓD\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\\Gamma _{D}$$\\end{document}) arises from two essential processes: collisional damping and gluonic dissociation. The quarkonia regeneration includes the transition from octet to singlet states within the anisotropic medium. Our study utilizes a medium-modified potential that incorporates anisotropy via particle distribution functions. This modified potential gives rise to collisional damping for quarkonia due to the surrounding medium, as well as the transition of quarkonia from singlet to octet states due to interactions with gluons. Furthermore, we employ the detailed balance approach to investigate the regeneration of quarkonia within this medium. Our comprehensive analysis spans various temperature settings, transverse momentum values, and anisotropic strengths. Notably, we find that, in addition to medium temperatures and heavy quark transverse momentum, anisotropy significantly influences the dissociation and regeneration of various quarkonia states.