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India's ongoing efforts to eradicate Hansen's disease (leprosy) are examined, with a specific focus on progress and challenges in Bihar. Initiatives at the federal and state levels, such as the National Leprosy Eradication Program and focused treatments, are evaluated critically for efficacy. The ongoing obstacles to eradication are examined even in light of notable successes in lowering prevalence. Bihar has effectively achieved the WHO eradication target at the state level, and key findings show a significant decline in leprosy cases nationwide. However, obstacles like enduring endemic regions, widespread social stigma, and developing antibiotic resistance keep eradication from being fully achieved. A key framework for improving surveillance, reducing stigma, and speeding up case detection is the National Strategic Plan and Roadmap for Leprosy (2023-27). To achieve Leprosy Mukt Bharat by 2027, the results highlight the need for multisectoral action and consistency.