Tuberculosis remains a major public health challenge in Pakistan despite available diagnostics and curative therapy. We conducted a community-based cross-sectional survey of 462 adults in Lahore, Pakistan (January to May 2023) using bilingual, venue-based and online questionnaires to assess knowledge, attitudes, and care-seeking for tuberculosis. Most respondents had heard of tuberculosis (439 of 462, 95.0 percent) and recognized at least one cardinal symptom; the most frequently identified was cough lasting more than three weeks (218, 47.2 percent). Airborne transmission via coughing or sneezing was the best-recognized route (262, 56.7 percent), although misconceptions persisted, including transmission through sharing plates (128, 27.7 percent). Knowledge of curability was high (444, 96.1 percent), and most selected specific drugs provided by health facilities as appropriate treatment (339, 73.4 percent). Intended care seeking was favorable: 351 respondents (76.0 percent) would attend a health facility for tuberculosis-like symptoms and 228 (49.4 percent) would do so as soon as they recognized symptoms. However, cost (148, 32.0 percent), uncertainty about where to go (88, 19.0 percent), and transport or distance (58, 12.6 percent) were prominent barriers; most still desired more information about tuberculosis (419, 90.7 percent). These findings indicate a high baseline of awareness in an urban setting, coupled with specific misconceptions and practical obstacles that may delay care. Targeted myth-correction, clear navigation to free or subsidized services, and measures to reduce out-of-pocket and transport barriers are likely to accelerate earlier diagnosis and treatment.