The Bengaluru Declaration on Rural Health, adopted during the 2025 Global Rural Health Summit in India, calls for urgent action to address persistent health disparities between rural and urban populations. Building on prior declarations, it emphasizes strengthening primary health care, addressing health workforce shortages, ensuring health worker safety, and creating supportive environments with incentives for rural practice. The declaration advocates leveraging digital health technologies, enhancing infrastructure, promoting community engagement, and tackling emerging challenges like climate change and aging populations. It underscores the importance of data, research, and multi-sector collaboration, urging global stakeholders to prioritize rural health in policy and practice.