Background: Genetic diseases are inherited disorders caused by abnormalities in genes or chromosomes and contribute significantly to morbidity and mortality worldwide. Awareness regarding genetic diseases among medical students is essential because they are future healthcare providers responsible for early diagnosis, counseling, and prevention. However, inadequate knowledge regarding genetics and genetic counseling remains a challenge in medical education.Genetic counseling is essential in managing hereditary disorders, yet its integration into medical training remains limited in India. While clinicians’ attitudes have been studied, little is known about the knowledge, attitude, and practice (KAP) among medical students at different stages of training. Objective : To assess the awareness regarding genetic disease among medical students and evaluate their knowledge related to inheritance, genetic counselling, screening and preventive measures. Methods: A descriptive cross-sectional study was conducted among 140 medical students (from first year to interns) after institutional ethical approval and informed consent, using a pre-validated 18-item questionnaire assesed demographics, knowledge, attitude and practice. Responses were collected via Google Forms and analyzed using descriptive statistics. Results: A total of 140 medical students participated in the study. Most students agreed that gathering multi-generational family history is essential (65.9%), indicating good baseline awareness regarding genetic counseling. However, only 47.9% agreed that patients should be informed about appropriate genetic tests, revealing an important knowledge gap. Positive attitudes were observed toward prenatal and carrier testing, with over 60% agreement. Practice-related awareness was comparatively lower, as only 55.3% supported referral to support groups and 46.8% agreed on the usefulness of audiovisual aids. Senior students showed slightly better awareness compared to junior students. Conclusion: Medical students recognize the importance of family history and communication but lack clarity on genetic testing indications and referral pathways. Structured genetic counseling training should be integrated early into the medical curriculum.Strengthening genetics education and promoting awareness programs are essential to improve future healthcare practice

Attitude, Genetic counseling, India, Knowledge, Medical students, Practice.