The large population of India makes it imperative that WHO, World Bank (WB) and other international/multi national organizations take notice of its changing trends in health status and pro actively engage in dialog with the national stakeholders who inf luence advocacy, policy and implementation toward better healthcare [1,2]. India is a large country that is continu ously developing owing to economic liber alization, which has influenced not only the economy, but also demography, welfare and healthcare. The country is in transition due to continuing migration, urbanization and the decreasing size of families [3]. Improve ments in healthcare in India have signifi cantly increased life expectancy, but have not decreased morbidity and disability, thus, imperceptibly changing the profile of the healthcare clien tele from young with acute health conditions to old with multiple chronic diseases with disability [1]. There fore, the disease burden is also in a phase of transition, with communicable disease slowly sharing the space with chronic non communicable diseases ,especially among the elderly [1,2,4–6]. India also shares many aspects of healthcare with other developing countries around the world – low health budget, lack of adequate social welfare and paucity of healthcare resources, including infrastructure, and trained healthcare personnel and professionals [7,8]. Dementia is one of the chronic non communicable diseases that has been sub stantially influenced by every one of the abovementioned aspects of transition in India. Despite a relatively low prevalence in comparison with other noncommunicable diseases in India [5], dementia is of great concern owing to its predicted increasing prevalence over the next three decades [9]. Hence, dementia care is rapidly evolving as an issue that demands the attention of the policy makers, administrators and healthcare providers in India. Care is pivotal in the management of a condition with increasing disability. Burden of care in dementia is significant around the world owing to the chronic, deteriorating nature of the condition, affecting the daily activities of the person. Certain factors that increase the burden experienced by the Indian caregiver need to be recognized. Erudite discussions per taining to all aspects of dementia care in India were presented in the recent Demen tia India Report (2010) by the Alzheimer’s and Related Dementia Society of India [10].