The union government introduced the National Medical Devices Policy, 2023 to augment the capacity, capabilities and competence of the domestic medical devices manufacturing industry. However, the policy has many lacunae and missing links, which could undermine the aims to foster a strong domestic medical devices manufacturing. There is a need for reform, in line with the existing policy initiatives and to constitute a separate law and regulatory body for the industry. The policy needs to enhance the accessibility by changing the existing procurement system for the public health sector. It further needs to scale up domestic manufacturing capabilities, through production-linked incentives, to ensure affordable medical devices for all citizens.