Leprosy remains an important cause of preventable disabilities. After the advent of multidrug therapy, new leprosy cases have come down dramatically. Despite this achievement, India, which contributes
60% to the global leprosy burden, faces some challenges to eliminate the disease, including active transmission in the community and delayed diagnosis of leprosy patients. The objectives of this retrospective descriptive study were 1) to determine socio-demographic and clinical characteristics of newly diagnosed adults and children (less than 15 years) with leprosy and their trends over time (20082015) and 2) to describe the profile of surgical procedures among leprosy patients registered for reconstructive surgeries during 20062015. The study concludes that targeting children and migrants and ensuring early diagnosis and treatment initiation are essential components for leprosy elimination in an urban metropolis in India.