After NEET PG, candidates seeking admission to postgraduate medical courses under the state quota should consider applying to states with a high number of PG seats and favorable eligibility conditions. Karnataka is one of the top choices, with over 5,000 PG seats and a large number of private colleges that accept non-domicile candidates, making it ideal for those open to private institutions. Tamil Nadu offers a good number of seats as well, but most are reserved for state domiciles, making it less accessible to others. Puducherry is another excellent option, especially for non-domicile students, as many private colleges there accept candidates from across India with relatively lower competition. Uttar Pradesh also provides over 3,500 seats and has private colleges open to non-domicile applicants, making it suitable for those with mid-level ranks aiming for clinical branches. Uttarakhand has a smaller seat matrix but less competition, and private colleges accept students from outside the state. Delhi offers highly reputed government colleges, but state quota seats are mostly reserved for Delhi domiciles; however, central institutions like AIIMS and others are available through the All India Quota. Maharashtra has over 4,500 PG seats but strictly reserves state quota seats for domiciles; non-domiciles can apply only under the private institutional quota, which usually involves higher fees. In addition to these, states like Haryana, Andhra Pradesh, Telangana, Rajasthan, and Chhattisgarh have become more accessible due to open policies for private seats, and they may provide opportunities for students with moderate NEET PG ranks. Ultimately, for non-domicile candidates or those with lower ranks, open states like Karnataka, UP, Puducherry, and Haryana are strategically beneficial, especially if they are flexible regarding college type and budget. Candidates seeking government seats should prioritize their home states due to domicile advantages. DNB programs through central counselling are also a good alternative as they do not require state domicile.