Background: The orthodontic objectives are best achieved when the individual is treated as a whole. It is important to understand the perception of individuals towards the orthodontic procedure. Objectives: The aim was to evaluate the perception and explore the reasons responsible for the patient wanting to undergo orthodontic treatment. Materials and Methods: A questionnaire survey was done on 150 individuals reporting to Department of Orthodontics, IOTN and DAI indices on same individuals were recorded. Results: Out of 150 individuals, in this study, 44% individuals were the first one to notice malocclusion, while mothers were the first to notice malocclusion in 34.66% individuals. Most of the individuals expected positive change in aesthetics and self confidence, improvement in dental health and carrier opportunities after orthodontic treatment. TMJ disorder, speech problem and chewing problem were noticed by 4 individuals. Conclusion: It was concluded that 1) Aesthetics was the main factor for seeking orthodontic treatment followed by functional needs. Although aesthetics is the prime concern of individuals seeking for orthodontic treatment, only 12% subjects need indispensible treatment need according to DAI index. Treatment need differs on aesthetics (DAI) and severity of malocclusion (IOTN). When severity of malocclusion is taken into account 88% subjects needed little or borderline treatment. On determining treatment need considering aesthetics 84% subjects needed little or borderline treatment which reflects the awareness of the people concerned about their aesthetics.