India's Startup Scene Matures
India's startup scene is undergoing a major shift. Companies are moving away from prioritizing rapid expansion above all else, focusing instead on building resilient, "durable" businesses. This big step forward, discussed at the Fortune India Startup Summit, relies on a comprehensive strategy. It involves integrating Artificial Intelligence as a core tool, while making consumer trust, effective local delivery, and clear, real-world results top priorities.
AI: Driving Innovation, Creating Challenges
Artificial Intelligence is quickly becoming essential. Indian adults in metropolitan areas show high adoption rates, with 56% using generative AI in 2025, a significant increase from the year before. AI adoption is even stronger in healthcare, where India leads global peers with 85% usage for personal health tools. The healthcare AI market is expected to reach USD 4.77 billion by 2034. Companies like Practo use AI to make finding healthcare providers easier, processing millions of data points. However, this tech advancement brings a complex challenge around trust. While AI offers efficiency, a large number of Indian consumers worry about digital security. 73% are concerned about online scams, and 67% about identity theft. Building trust in an AI-driven world requires a careful balance, where brand reputation and following regulations are seen as key factors.
Trust and Local Delivery Take Center Stage
In sectors from healthcare to elder care and organic food, trust is increasingly becoming the key way companies stand out. Siddharth Nihalani, co-founder of Practo, stressed that trust in healthcare comes from consistent medical results, not discounts. Saumyajit Roy of Emoha Elder Care spoke about rebuilding trust through dedicated care coordinators, which is important in a market where 99% of seniors prefer to age at home. Shashi Kumar of Akshayakalpa Organic mentioned that consumers are asking more detailed questions about product origins. This shows that consistently delivering on promises is more important than price competition. The hyperlocal delivery market reflects this demand for reliable service, experiencing a strong 51.84% CAGR driven by quick commerce platforms that promise delivery within minutes. However, this area also faces more regulatory checks, especially concerning protections for gig workers.
Funding Shifts as Profitability Becomes Key
The move toward durable businesses is highlighted by a shift in the investment landscape. India's tech startup funding fell 18% in FY26 to $11.7 billion. Late-stage deals saw a major 38% drop from the previous year. This market now requires a clear way to become profitable and have sustainable business models, moving away from the "growth-at-all-costs" approach common in earlier funding periods. Companies like Akshayakalpa Organic, despite reporting revenue growth, still operate at a net loss. Practo, aiming to raise over $100 million in a pre-IPO round at a $700 million valuation, achieved operating EBITDA profitability in FY25. This signals a strong focus on financial health before its potential 2027 listing. This emphasis on profitability contrasts sharply with past funding rounds, such as Practo's 2020 funding, which included a reduction in valuation by over 50%.
Risks in the New Startup Era
The real challenges in this new approach are considerable. The Indian IT sector has already received a clear warning. The Nifty IT index dropped about 25% since early 2026, losing approximately ₹7.7 lakh crore in market value. This downturn was caused by fears that AI could change the traditional outsourcing business model completely, showing how fast perceived threats can lead to large drops in valuation. For startups, the "AI Death Valley" is a real risk, where promising AI projects struggle to grow because of difficulty integrating and missing data. Building deep consumer trust in the digital age also takes a lot of time and money, with 77% of Indian online shoppers still worried about data breaches. Companies that cannot show a clear way to become profitable, even while spending a lot on AI and building trust, risk facing investor doubt and possible valuation drops, as seen with Practo's history. The demanding operations for true local reach, along with the need for thorough checks and customer support, put significant pressure on profits.
The Path Forward
The main view is clear: AI acts as a strong booster, but lasting success in India's changing startup sector will depend on being able to build deep consumer trust, operate perfectly at the local level, and show a clear path to profitability. As the startup scene matures, investors will likely scrutinize more closely. They will favor companies that can combine technological innovation with good financial management and real customer loyalty.
