A study on national management of Hansen’s disease highlights key policies and evaluates past successes and challenges. A literature review was conducted to inform the findings. In 2024, there were five new cases of Hansen’s disease among foreigners, with a total of 7,135 individuals eligible for Hansen’s disease programs. The average age of these individuals was 80.9 years, and 73.5% experienced disabilities related to the disease. The national policy focuses on three main areas: early detection and transmission prevention, treatment and recurrence prevention, and support for welfare and social rehabilitation. The country achieved the World Health Organization’s goal of eliminating Hansen’s disease in 1982, maintaining a prevalence of less than 1 per 10,000 people since then. Future efforts will aim to enhance early detection, improve healthcare professional training, and develop tailored medical and welfare programs for those affected by Hansen’s disease.