Background:Osteoarthritis (OA) of the knee is a prevalent and debilitating joint disorder, particularly affecting older adults. Characterized by the gradual breakdown of cartilage, OA leads to pain, stiffness, swelling, and reduced mobility, significantly impairing the quality of life. This study aims to assess the knowledge and awareness of OA knees among the general public in District Kangra, highlighting gaps in understanding and informing future public health interventions.Materials and Methods: A descriptive cross-sectional survey was conducted between January 2024 and May 2024 in District Kangra, Himachal Pradesh. The study targeted adults aged 18 and above who had been residents of the district for at least 12 months. A sample size of 400 adults was determined using a 95% confidence level, an estimated knowledge level of 50%, a 5% absolute error margin, and a 5% non-response rate. Data were collected via a Google Form questionnaire distributed through online platforms. The questionnaire consisted of 20 structured questions covering socio-demographic characteristics and knowledge regarding OA knees. Data were analyzed using Epi Info V7 Software, and results were presented in terms of frequencies and percentages.Results: The study revealed that 79.0% of participants had heard of OA knees, with 72.0% aware that OA could cause joint pain. However, detailed knowledge about the symptoms, causes, prevention, and management of OA knees varied. Only 53.8% of participants recognized that maintaining a healthy weight could help prevent OA, while 47.5% were aware that medications could manage symptoms. The overall knowledge distribution showed that 25.8% demonstrated very good knowledge, 28.8% had good knowledge, 27.3% had fair knowledge, and 18.3% had poor knowledge. These findings underscore the need for targeted educational interventions to improve public understanding of OA knees.Conclusion: This study highlights significant gaps in the knowledge and awareness of OA knees among the general population in District Kangra. Despite basic awareness, there is a clear need for comprehensive educational campaigns that cover the full spectrum of OA symptoms, causes, prevention, and treatment. Strengthening public health initiatives and promoting evidence-based management through community programs and healthcare professionals are crucial for reducing the impact of OA knees on individuals and the healthcare system.