Background. Cancer remains a substantial public health challenge in India, with approximately 1.46 million new cases reported in 2022 and projections suggesting a 12.8% increase by 2025. Lung and breast cancers are the most prevalent among males and females, respectively. In the pediatric population (0-14 years), lymphoid leukemia is the most common cancer. There is an increasing acknowledgment of the critical role of psychosocial support in cancer care within India. Nonetheless, significant challenges persist in the effective delivery of these services nationwide. Methods. A SWOT analysis was conducted to elucidate the current state of psychosocial services for cancer patients in India. Results. The analysis identifies strengths such as established support networks in major urban centers, program initiatives, contributions from government and non-governmental organizations (NGOs), heightened awareness, and a growing number of trained psycho-oncology professionals. However, notable weaknesses include limited access in rural regions, cultural stigma, insufficient funding, and fragmented care systems. Opportunities are present in the expansion of telemedicine, enhanced professional training, integration with mainstream oncology, and increased funding from governmental and non-governmental sources. Nevertheless, significant threats such as lack of awareness among the public and healthcare professionals, entrenched cultural resistance, inadequate policies, and economic constraints are prevalent. Discussion. Moving forward, strategic efforts should prioritize enhancing access to psychosocial care in rural areas, reducing stigma associated with seeking psychosocial care, advocating for policy integration, increasing the number of training programs for professionals, and supporting research and data collection to inform evidence-based interventions.