Coercion is recognised as a problem in health services around the world. Very little is known about the use and utility of coercive measures in psychiatry and other medical specialties in India, although the existing evidence supports the view that coercion is widely used. In February 2013 experts from India and Europe came together in Mysore, India, for an international symposium on coercion. A Declaration was drafted, discussed and ratified which defines coercive measures for the Indian context and which outlines ways to minimise coercion in medical settings in India. This paper describes the main points of the Declaration.