Background: The role of the Medical Ethics Committees (MECs) is central to addressing legal conflicts related to health care. In rapidly progressing clinical settings such as Solapur, ethical monitoring is important for maintaining patient rights, directing therapy, and handling disputes in advance before they could become legal confrontations.

Objectives: The objective of the study was to evaluate the structure and process of the functioning of MECs of a tertiary care hospital in Solapur. It attempted to ascertain the knowledge, participation, and attitude of healthcare workers towards MEC activities in medico-legal affairs, and then to identify the operational limitations and areas that need improvement.

Methods: A descriptive cross-sectional study was carried out among 60 Solapur healthcare workers (HCW) of clinicians, nurses, health administrators, and MEC members. The information was collected by using a structured questionnaire with a mixed formulation of closed-ended Likert scale and open-ended questions. Descriptive statistics were used to analyse quantitative data, and the thematic analysis approach was applied to categorize more complex experiences and ideas.

Results: The awareness of the existence of these CDAs was shown to be high, with about 90% of the respondents acknowledging their presence. Yet 45% reported that they were actively participating in MEC functions. Though MECs were considered moderately effective in achieving timely responses and impartial dispute resolution, concerns were expressed regarding the transparency and the sufficiency of formal ethics and legal training.