Telemedicine service started about eight years ago in India as pilot basis. Now it has taken matured Major hospitals are expanding their telemedicine centres in India as well as in neighbouring countries. Indian Space Research Organisation’s (ISRO) network has 170 centres, of which around 35 are specialty hospital and the rest remote centres. Government has partnered with four states of India to expand telmedicine services. The first telemedicine project in the country was a centre set up by the Apollo Hospitals group in the village of Aragonda in Andhra Pradesh in 1999. Currently, around 350-500 hospitals are connected through telemedicine. The telemedicine initiative of Manipal Hospitals has 15 centres, including centres n Mauritius and education links with South Africa. Now the hospital is planning to connect all Manipal group institutions and affiliated clinics as well as setting up more centres in Bangladesh, Nepal, Sri Lanka and Mauritius.