Machado-Joseph Disease (MJD), a rare genetic disorder affecting the central nervous system, currently lacks a definitive cure. However, recent advancements in MJD treatment focus on symptom management and slowing disease progression. The disease is caused by a mutation in the ATXN3 gene, leading to the accumulation of toxic proteins that impair motor coordination, speech, and cognitive function. Treatment primarily revolves around addressing symptoms, such as using L-dopa for movement issues and botulinum toxin injections for muscle spasticity. In recent years, there has been growing interest in gene therapy and drug development targeting the root cause of MJD. Research efforts have led to potential therapeutic agents that aim to reduce the accumulation of toxic proteins, such as SLS-005 (trehalose injection), which has shown promise in clinical trials. Additionally, CRISPR-Cas9 technology has sparked hope for future treatments by allowing precise gene editing to correct the mutation causing MJD. The rising investment in genetic research and personalized medicine is advancing MJD treatment options. As these innovations continue, there is optimism for therapies that alleviate symptoms and potentially halt or reverse disease progression, significantly improving patient outcomes.