India’s rapid urbanization presents a critical interval where balancing sustainable development and resource conservation is imperative. This review paper examines India’s unique context and explores the potential of precast concrete technology as a catalyst for sustainable urbanization in this dynamic nation. The paper traces the evolution of precast concrete technology in India, from its introduction to its current status as a solution to urban challenges. It assesses key drivers behind precast technology adoption in various urban sectors. Drawing on case studies and research findings, it highlights the tangible benefits of precast. In a nation characterized by rapid population growth and burgeoning cities, precast technology offers notable advantages. It significantly accelerates construction timelines, addressing the pressing need for timely urban infrastructure. Precast concrete is also renowned for resource efficiency, reducing the carbon footprint. These benefits align with India’s sustainability goals, including reducing emissions and conserving resources. Challenges specific to India are examined, such as standardization, skill development, and regulations. Local adaptation and innovation are emphasized to unlock precast technology’s potential. In conclusion, the paper assesses precast concrete technology as a vital catalyst for sustainable Indian urbanization. As India accommodates its growing urban population while safeguarding its natural heritage, precast concrete technology emerges as a promising pathway toward a sustainable urban future.