A drug target is the specific molecule a medicine is designed to affect. Most often it is a protein.
The lock-and-key picture
Think of the target as a lock and the drug as a key cut to fit it. The key only helps if it turns the right lock. Because the body holds tens of thousands of similar-looking locks, a key that also fits a wrong one causes effects elsewhere — which is where side effects come from.
Why the choice is genuinely hard
Diseases usually involve networks of interacting proteins rather than a single faulty molecule, so it is not obvious which protein is the best point of intervention. Picking the wrong one can waste years of research and money, and the choice has to be made before any medicine exists to test.