Purpose: This study investigated the prescribing decisions for marginal refractive correction by Pakistani optometrists and ophthalmologists. Methodology: This study took a cross-sectional approach at the prestigious Superior University in Lahore between February and May of 2022. Optometrists and ophthalmologists from Pakistan responded to a self-designed questionnaire via physical and online (e-mail, Google Forms, and WhatsApp) modes of communication. The purpose of this questionnaire was to survey the degree of the refractive error at which participants prescribe correction for varying degrees of refractive error in both the presence and absence of symptoms. Results: The study included a total of 120 working professionals as participants. The presence of symptoms was a major factor that influence the prescribing patterns of participants. In the presence of symptoms, most of the practitioners (75%) prescribe correction for every refractive error while in the absence of symptoms, only 25% of participants prescribe correction. But for presbyopia, 50% of practitioners prescribe correction in the presence and absence of symptoms. Other factors like age, receiving incentive on sale, and work environment does not have any influence on the prescribing decisions. Conclusion: The presence of symptoms has been found to be the major factor that influences the prescribing decisions of participants. The number of years of experience possessed by the practitioner is another factor that plays a role in prescribing decisions.