The Micro, Small, and Medium Enterprises (MSME) sector is a cornerstone of India’s economy, significantly contributing to GDP, exports, and employment generation. Among these, medium enterprises play a critical role, in the manufacturing and service sector, where they drive industrial growth, innovation, and global competitiveness. Despite their immense potential, medium enterprises face challenges such as limited access to finance, inadequate technological integration, and a lack of tailored policy support. While various government schemes exist for the MSME sector, only a few specifically address the unique needs of medium enterprises. Bridging this gap through targeted policy interventions can enhance their scalability, sustainability, and competitiveness in the global market. Recognizing their importance, this report, Designing a Policy for Medium Enterprises, seeks to explore the challenges and opportunities within this sector while proposing a comprehensive policy framework to support its growth.