This report provides a comprehensive analysis of managing small and medium-sized enterprises (SMEs) in the Indian economy, emphasizing their significance in employment generation, export, innovation, and economic growth. It defines SMEs based on investment and turnover criteria. The report explores contemporary issues faced by SMEs, such as lack of advanced technology, credit access, marketing challenges, and cumbersome regulatory practices, along with the government support available to address these issues, including financial assistance, tax relief, and various business support programs. It then evaluates development routes for SMEs, including assessing business ideas, building business plans, determining budgets, deciding on legal entities, managing finances, establishing a website, and testing sales. The report also examines alternative methods of growth for SMEs, such as market penetration, market development, alternative channels, diversification, product expansion, and partnerships. The report references the Federation of Small Business (FSB) in the UK, highlighting its role in supporting SMEs. Overall, the report offers valuable insights into the challenges and opportunities for SMEs, providing practical strategies for sustainable growth and development.