Introduction: Growth factor and hormonal growth spurt are additive factors to be considered for growth, along with availability of food and type of food, which is major cause beyond the hidden genetic factors. Various multi-centric studies were conducted to develop the growth charts, few of them were extremely appreciating as ICMR, still faced many controversies. One of the major setbacks faced were urban and rural growth study of children, featuring urgent requirement of growth charts for every nation.