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United States has a significant involvement in the regional affairs of South Asia since 1947 and this region remained an area of interest and priority near West due to its momentous geostrategic and geopolitical importance. United States has forged effective bilateral bonds with countries across South Asia, however, its policy has regularly concentrated on the immediate over the enduring. United States policy toward the region had seen many ups and downs and had segments of successes and missed opportunities. The U.S. has to adopt a renewed policy towards South Asian states if it needs to forge interactions with this region built on mutual interests and trust, although preserving an enduring strategic approach towards Asia, so that both the U.S. and the South Asian countries will be better prepared to deal future uncertainties.