Stomach cancer in India is often diagnosed late because early symptoms (indigestion, mild discomfort) are easily attributed to acid reflux. Persistent dyspeptic symptoms in patients over 45, or with alarm features (weight loss, anaemia, vomiting, dysphagia), warrant urgent endoscopy with biopsy. Multidisciplinary treatment combines staged investigation, surgery (with appropriate lymphadenectomy), and perioperative or adjuvant chemotherapy depending on stage.