What it means
なくてはいけない expresses that an action is required or necessary. It is formed with the negative stem of a verb and literally presents not doing the action as unacceptable. The familiar ending is commonly used in plain speech and writing, while なくてはいけません is the polite counterpart. The construction can describe personal duties, rules, or circumstances that make an action necessary.
Usage note
なくてはいけない can sound firm because it expresses an obligation. Do not confuse it with なくてもいい, which means that an action does not have to be done.
How to use it
毎日薬を飲まなくてはいけません。
It is necessary to take medicine every day.
毎日薬を飲まなくてはいけない。
It is necessary to take medicine every day.
