Vitamin D deficiency (VDD) is often an underestimated public health issue in Pakistan. The natural climate supports sufficient vitamin D levels, but people are deficient in Vitamin D. Methods: A qualitative research approach was utilized, involving an extensive review of the literature along with 16 semi-structured interviews conducted with experts and stakeholders. The data were analyzed thematically to uncover key obstacles, gaps in policy, and areas for intervention. Results: National data suggests about 70% deficiency of Vitamin D impacting vulnerable groups. The main factors contributing are cultural norms, insufficient policy enforcement, and the lack of food fortification or routine checkups. Interviewees also pointed to low prioritization by authorities, uncoordinated interventions, and limited health literacy as ongoing challenges. Conclusion: A unified national strategy emphasizing public education, food fortification, targeted supplementation, and the integration of vitamin D screening and treatment into healthcare can address the issue at the policy and community level.