Tuberculosis (TB) is one of the most ancient disease of mankind and is one the ten major cause of mortality worldwide particularly in developing countries. It is an infectious disease caused by bacteria Mycobacterium tuberculosis. It usually affect the lungs but can also affect other organs of body. Inspite of various measures taken to eliminate the TB by Govt .of India by 2025. The trend of TB cases and drug resistant cases in India is very disturbing .The article is compiled with the objective to study the present status and challenges in India with special reference to Jammu and Kashmir.