Economic liberalisation has led to an influx of clinical research and a boom in the medical writing industry in India. Medical writers in India at present contribute mostly to medical communications, health journalism, and academic medical writing. Regulatory writing is fast climbing up the ladder too. Continued medical education (CME) writing is almost non-existent since CME is not mandatory for physicians. Lack of adequate experience as professional medical writers translates into quality issues. Unless we match up to global quality standards, we may soon be facing competition from other Asian countries. However, experienced medical writers who have learnt the hard way are hopeful that, with rigorous training and accumulating experience, those who offer quality are here to stay.