The construction sector plays an important role in the livelihoods of rural poor populations, contributing significantly to their economic sustenance. This study focuses on the status and significance of women construction workers in the Madurai district of Tamil Nadu. More than 3 lakh construction workers are employed in Tamil Nadu facing various challenges on a daily basis. Women in this sector encounter numerous issues including socio-economic hardships, environmental risks and health problems at the worksite. The present study investigates the socio-economic conditions and occupational health problems faced by women in Madurai’s construction industry. The construction sector a key employer in developing countries like India predominantly hires unskilled and semi-skilled labour. Women workers in construction industry endure long working hours, wage discrimination and adverse working conditions often with limited access to social security or healthcare. Data collected from 60 respondents through purposive sampling reveals that most of the women workers are between 30 and 50 years old and have only a primary level of education. Despite their significant contributions these women face a multitude of challenges such as health issues like neck and shoulder pain, anaemia and asthma with minimal awareness of medical insurance. The study highlights the urgent need for targeted interventions aimed at improving economic security, health awareness, and working conditions for women in the construction sector.