Regarding its potential to provide numerous people with work possibilities, the Beedi business holds a significant position in rural development. Tamilnadu is one of India's leading hubs for the beedi business. The production of beedis employs an estimated million people, predominantly women, and children. Because each beedi must be individually rolled, it is a challenging, labor-intensive task. Since the beedi industry is essentially an unorganized sector, even government personnel need help to uphold the many regulatory requirements. In addition to potential legal ramifications, the health risks to the female workers rolling the beedis are significant. This study aims to investigate the amount of health risk faced by female beedi rollers in Tamil Nadu. This study used 388 possible responses from female beedi rollers in the Tirunelveli, Tuticorin, Tiruchirappalli, and Vellore roller-concentrated areas. The survey shows that more than 70% of beedi rollers experienced ocular, gastrointestinal, and neurological issues.