Abstract: Geometric design of highway deals with designing of physical visible features of highway those comprise of horizontal alignment, vertical profile, circular and transition curves, superelevation, Summit and valley curves, cross sectional elements, sight distances and other features. From the safety point of view, road geometric features should be well designed as per the IRC recommendation. In this research work, the horizontal alignment and vertical profile have designed of Balampur Ghat section in the Bhopal-Vidisha Road which is in the Madhya Pradesh State of India. The objective of this research work is “Improvements in the Horizontal alignment and Vertical profile of Balampur Ghat Section in Bhopal-Vidisha State Highway Road (SH-18) using MX Road Software”. The design of horizontal alignment and vertical profile have been done for Balampur ghat section approx. 2.0 km in length of State highway no. 18 (SH-18) of Madhya Pradesh. SH-18 is connected to Vidisha from Bhopal in the state of Madhya Pradesh and having heavy commercial traffic. Balampur ghat section is hilly terrain and have two improper horizontal curves along with 6.5% of vertical gradient and because of this reason that section is not safe for deriving therefore it has become an accident-prone area and the accident-prone area have the human and economical losses so it should be improved and re design of the horizontal and vertical alignment for safe design speed. The proposed methodology is on the basis of inventory survey (preliminary survey), topographic survey and MX Road software. In inventory survey take the data of existing road and find the suitable route of alternative alignment if re-alignment is required in the road. Then the topographic survey done on the existing road and alternative alignment. Import the topographic data of the road in MX Road software for generate existing surface of the road for design of horizontal alignment and vertical profile. As per IRC recommendations, there are two alternative alignments designed of the existing ghat section. As per the outputs of this research work, the length of both improved alignments is short as compare to existing road. There are no improper curves at improved alignment and maximum gradient is 4.2% which is less than the existing gradient (6.5%). The minimum design speed is 40-50 kmph which was 20 kmph in existing road. The both two improved alignments are safer as compare to existing alignment and the design speed of the vehicle has been increased. The improved alignment 2 is straighter than the improved alignment The improved alignment has also reduced the human and economic losses.