India’s governmental regulation of emigration and the emergence of the country’s migration industry have both been largely guided by the facilitation of low-skilled outmigration. Taking the rapidly growing migration of nursing professionals from India as a point of departure, this chapter seeks to understand the way the Indian state’s concerns and interests entangle with that of an emerging migration industry in significant ways. Recounting in detail a case of migration fraud, it argues that there is a dialectic relationship between the character and functioning of the migration industry and state policy.