Orchids, belonging to family Orchidaceae, hold highest position in the evolution of monocots and are well known for their beautiful long lasting flowers and medicinal properties. The orchids exhibit tremendous medicinal properties due to the presence of a wide variety of chemical compounds; however, scientific advancement on most of the medicinal orchids remains largely unstated. The present paper provides an overview of some important medicinal orchids of Indian Himalayan region and suggests that extensive research is required for the characterization, commercial extraction, and purification of a wide range of biologically active compounds, present in orchids. More rigorous scientific validation of medicinal orchids is required, along with standardization of extract preparation method. This will stimulate herbal based novel drug discovery and will extend the scope of therapies using potential orchids of Himalayas. The present paper highlights various conservation issues/options along with the need for developing best package of practices for cultivation, mass multiplication, in vitro production of secondary metabolites, promotion of indigenous species for trade, and inventorization of orchid species both at the regional and national level. These efforts would be beneficial for the conservation of this unique group of plants for sustainable development of Himalayan communities.