Objectives: Estimate all types of expenditure related to Cataract surgery in India and To Determine out of Pocket Expenditure and its determinants. Method: This is a cross-sectional Quantitative study design, and used the data generated by the 75th Round of National Sample Survey 2017, which measured self-reported morbidity with All kinds of expenditure like Medical expenditure, Non-medical expenditure, Transport, reimbursement and we also calculate out of pocket expenditure (OOPE) to measure financial hardship and its determinants with a sample of 1080 Individuals from all across India. Results: The overall hospitalization for cataract surgery in India is 1.1 % and the share of the public facility is only 37%. The mean Medical expenditure for a cataract surgery in India cast 11243 rupees, for transport expenditure 1360 rupees, Total Expenditure is 12749 and the Out of Pocket Expenditure is 9327 Rupees. The factors for Out of pocket Expenditure is Urban spends 3709 more than Rural, Graduate spends 8378 rupees more than Not literate, Private healthcare is 10167 expensive then Public, Richest spent 5326 rupees then Poorest and Non-Insured spend 4830 then Insured. Conclusion: Addressing the gaps in Financial Hardships, Improve the Insurance coverage, and Increasing Public sector share for cataract Surgery will improve in decreasing financial burdens.