Introduction <p>Head and neck cancers account for nearly one-third of cancers in India, imposing significant functional, psychosocial, and financial burdens. Caregivers, essential to patient care, often experience physical, emotional, and mental burnout, yet remain largely unrecognised.</p> Objective <p>This review explores the scope of caregiver burnout in HNC care in India, its implications on patient outcomes, and the systemic gaps that necessitate urgent policy changes to safeguard caregiver well-being and improve survivorship.</p> Methods <p>A narrative review was conducted, including studies on HNC caregiving, caregiver burden, psychosocial oncology in LMICs, and survivorship policies.</p> Results <p>Caregivers face disproportionate psychological distress, financial toxicity, and social isolation. Burnout is linked to reduced treatment adherence, therapy interruptions, and lower quality of life for patients and caregivers. Unlike high-income countries, India lacks structured psycho-oncology services, respite programs, and caregiver-focused policies, worsening both caregiver morbidity and suboptimal cancer outcomes.</p> Conclusions <p>Caregiver burnout in Indian HNC care is a silent public health crisis. Immediate action is needed to implement systematic caregiver screening, financial protection, psycho-oncology integration, and policy recognition. Investing in caregiver well-being is essential to improve patient survival, treatment adherence, and overall cancer care outcomes.</p>