Multiple sclerosis (MS) is increasingly recognized as a significant health issue in India, with around 200,000 individuals affected. The disease, characterized by the immune system attacking the central nervous system, leads to severe mobility and communication challenges. Early diagnosis is crucial, as delays can result in permanent neurological damage. MS primarily affects young adults, particularly women, creating additional caregiving burdens. Many early symptoms, such as fatigue and visual disturbances, are often subtle and misdiagnosed, leading to delays in treatment. Recent advancements in imaging and therapies highlight the importance of early intervention with high-efficacy therapies (HETs), which can slow disease progression and preserve neurological function. Increasing public awareness of MS symptoms and training for primary care physicians on neurological red flags are essential for timely referrals. As our understanding of MS evolves, the focus has shifted toward maintaining brain health and quality of life, emphasizing the need for early and effective intervention.