Reservation has always been a disputable topic with divided opinions among the people. It is often seen as a hindrance to the merit system. On the other hand, it is a reflection of Social Justice enshrined in the Preamble of the Constitution. Reservation is the cure for discrimination, which has haunted our society for years and such cruel practices of caste-based discrimination could be seen in some places even till date. Most of the citizens, particularly students, are not aware of the reason for the existence of reservation in the constitution and they often see it as a tool used by political parties to gain votes. This wrong notion in young minds has to be changed and the ideology behind this concept should be deeply understood, so as to ensure future governance is in good hands and social justice is served. In this article, the authors have dealt widely about the reservation in medical seats in the All India Quota category with its historical background. Medicine is considered to be the leading profession chosen by students as their career in India. With the development of NEET and centralising the entrance exam, let us also view how seats are being allotted. This manuscript is aimed at removing the confusions behind providing reservations and addressing the current issue of 27% OBC reservation. A proper and in-depth understanding of reservation is the need of the hour to carry forward the constitutional values as the makers have envisioned.