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The steno-endemic species from the genus <i>Decalepis</i> are facing a high level of threat due to destructive wild harvesting. The genus claimed its paramount importance to mankind due to its unique tuberous root characteristics and exhibits a wide range of biological and medicinal properties, and is used in pharmaceutical and food industries. Plants of this genus are endemic to limited areas of peninsular India, such as the Eastern and Western Ghats, and according to the International Union for Conservation of Nature (IUCN), species from the genus <i>Decalepis</i> are considered globally critically endangered. The genus comprises of five species namely <i>Decalepis hamiltonii</i> Wight & Arn., <i>Decalepis arayalpathra</i> (J. Joseph & V. Chandras.) Venter, <i>Decalepis salicifolia</i> (Bedd. ex Hook. f.) Venter, <i>Decalepis nervosa</i> (Wight & Arn.) Venter, and <i>D. khasiana</i> (Kurz) Ionta ex Kambale. All the species of the genus <i>Decalepis</i> are being used by the tribal people and also in traditional Indian and Chinese medicine. International trade for this plant is also increasing, resulting in overharvesting. The traditional method of propagation, viz., seed germination and vegetative, are limited and jeopardizes the species population, whereas plant tissue culture provides the opportunity for extensive production of the plant in vitro without sacrificing their natural habitats. This review is aimed to systematize the up-to-date facts related to the Genus <i>Decalepis</i> with the exploration of their geographic distribution, chemical profile, pharmacology, biological activities, micropropagation, somatic embryogenesis, synthetic seed, and genetic transformation.