[4] Initially, activities were started from mid-1986 to upgrade Madhyanagar Thana to an upazila.

After this, programs like hunger strike, human chain and hartal were also observed in Madhyanagar market at different times.

The last decision to make Madhyanagar a full-fledged upazila was taken at the 116th meeting of Nikar on 28 July 2021.

[5] According to the 2011 Census of Bangladesh, the unions now part of Madhyanagar Upazila had 18,613 households and a population of 92,745.

Madhyanagar had a literacy rate (age 7 and over) of 28.22%, compared to the national average of 51.8%, and a sex ratio of 989 females per 1000 males.