Background: Osteoporosis, a progressive condition characterized by decreased bone density and increased fracture risk, is a growing public health concern, particularly in aging populations. This study assesses the awareness and knowledge of osteoporosis among adults in District Kangra, Himachal Pradesh, with a focus on identifying gaps in understanding related to symptoms, risk factors, prevention, and management.Methods: A descriptive cross-sectional survey was conducted between January and May 2024 in District Kangra. A sample of 400 adults, aged 18 and above, was selected using a 95% confidence level and a 5% error margin. Data were collected using a pre-tested Google form questionnaire, circulated via online platforms, that included 20 structured questions on socio-demographic characteristics and knowledge of osteoporosis. The responses were analyzed using Epi Info V7 Software, and results were expressed in frequencies and percentages.Results: The study revealed that while 79.3% of participants had heard of osteoporosis, detailed knowledge of its symptoms and risk factors varied. Although 72.3% recognized osteoporosis as a cause of weak bones, fewer participants were aware of symptoms such as frequent fractures (69.5%), loss of height (67.0%), and back pain (64.8%). Knowledge of risk factors, including aging (61.5%) and calcium deficiency (59.8%), was moderate, but awareness of preventive measures like maintaining a calcium-rich diet (53.0%) and regular exercise (52.3%) was lower. The overall knowledge distribution showed that 26.0% of participants had very good knowledge, while 17.8% had poor knowledge, indicating significant room for improvement in public awareness.Conclusion: This study highlights the critical need for enhanced public education on osteoporosis in rural Himachal Pradesh. The identified gaps in knowledge underscore the importance of targeted public health interventions that emphasize practical, actionable strategies for prevention and management. Strengthening educational efforts and equipping healthcare providers with the tools to educate the public can help mitigate the growing burden of osteoporosis, promote early diagnosis, and improve health outcomes in the community.