This article explores the health and occupational hazards faced by women workers in Assam’s tea industry, where women form almost half the workforce. Despite their central role, they face demanding labor, chronic health issues and significant gender disparities. Drawing on recent literature, the study highlights that most women tea workers come from disadvantaged backgrounds, have low education and face economic hardship. They are exposed to health risks like musculoskeletal disorders, respiratory illnesses, reproductive problems and malnutrition—mainly due to repetitive labor, chemical exposure and poor living conditions. Long hours, harsh weather and minimal safety measures worsen these challenges. Gender inequalities, such as wage gaps, job segregation and limited access to benefits, further restrict women’s well-being. Although women use coping strategies like support networks and self-help groups, these are not enough. The article emphasizes the need for gender-sensitive policy reforms, such as stronger labor laws, better workplace safety, expanded welfare and women’s empowerment through education and leadership. Addressing these complex risks requires coordinated action from all stakeholders to ensure reforms improve the health, dignity and opportunities of women tea workers, supporting broader social justice and sustainable development