In India, the Medical Termination of Pregnancy (MTP) act 1971 has evolved a lot, to an extent that it has brought much liberty to women with some interim to the basic sexual and reproductive health rights. In the latest MTP 2021 amendment, the legal time of MTP has been extended from 20 weeks to 24 weeks, which was the need of the hour. Even after this amendment, women's basic reproductive rights aren’t assured due to the trends and acceptance of society which again has a long way to go. The system runs more as a doctor-centric rather than a women's rights-based framework. In this article, we have discussed the detailed chronology of evolution, comparison of the original act of 1971 with the latest amendment 2021; Women's reproductive rights, a few modifications that can be done to further improve the objectives, people’s social awareness, and acceptance to MTP. Many more gaps are discussed thoroughly, and required modifications are suggested.