iarjsIARJSIARJS2789-610210.47310/iarjs.2025.v05i01.005Awareness of Pelvic Inflammatory Disease (PID) and Its Surgical Implications: A Cross-Sectional Study in KangraBackground: Pelvic Inflammatory Disease (PID) remains a significant yet underrecognized reproductive health issue, particularly in rural and semi-urban areas of India. Caused primarily by untreated sexually transmitted infections (STIs), PID can lead to chronic pelvic pain, ectopic pregnancy, infertility, and, in severe cases, surgical interventions. This study aimed to assess public awareness of PID and its surgical implications among adults in Kangra, Himachal Pradesh. Materials and Methods: A descriptive, cross-sectional study was conducted over three months (October–December 2024) using a structured Google Form questionnaire. The survey was disseminated through local online platforms and social media, targeting adults aged 18 years and above residing in Kangra. The questionnaire comprised socio-demographic details, 20 knowledge-based questions on PID and its surgical relevance, and items assessing attitudes and perceptions. A total of 400 valid responses were analyzed using SPSS v26.0, with knowledge scores categorized into four levels: very good, good, fair, and poor. Results: Among 400 participants, 76.8% were female and 56.3% resided in rural areas. Awareness levels were generally high: 75.3% identified PID correctly, 71.0% recognized STIs as a primary cause, and 71.8% understood its link to infertility. However, only 67.0% were aware that surgery is reserved for severe cases, and 65.3% knew that laparoscopy may be performed. While 79.8% expressed willingness to seek care if symptomatic, 65.8% acknowledged the presence of community stigma. Overall, 38.5% of participants demonstrated “Very Good” knowledge, 41.3% “Good,” 14.8% “Fair,” and 5.5% “Poor.” Conclusion: Public awareness of PID in Kangra is encouraging but uneven, with critical gaps in understanding its surgical implications and preventive strategies. Cultural stigma and misconceptions persist, especially in rural and low-education subgroups. Community-driven, culturally sensitive education and integration of PID screening into routine care are essential to improving reproductive health outcomes and reducing the burden of delayed or invasive interventions.