This quantitative study contributes to theory and practice by analysing the interrelationships between service quality, customer satisfaction and behavioural intention among Maldivians’ seeking medical tourism services. A total of 385 samples collected using stratified proportionate random sampling and a survey questionnaire approach in a non-contrived cross-sectional setting with minimal interference of the researcher. The study seeks to fill existing gaps in literature related to medical industry, and this study will be a first of its kind for the Maldives, as it is conducted nationwide across the 19 atolls to generalise the results of this study conducted in the Maldives context. The findings indicated that service quality significantly affects customer satisfaction as well as behavioural intention. Further analysis is provided for testing the intervening effect of customer satisfaction on the relationship between service quality and behavioural intention. The study results would help policymakers in the Maldives to formulate better policies on medical care and medical tourism. Academics in the field of business management and marketing would be able to utilise findings to enrich literature. Furthermore, the study assists marketeers and business analysts formulate new marketing strategies to penetrate the South Asian region market, with an emphasis on the medical care industry in the Maldives.