The medical tourism industry has been increasing in popularity and profitability over recent years. As a relatively newer field of study in marketing, little research has been conducted on how patients evaluate the healthcare service within the context of medical tourism. Healthcare marketing research needs to take into consideration the dynamic, topical, and specific concerns faced by patients to be applicable and fruitful. This research seeks to make theoretical contributions about the nature and determinants of customer expectations of service in the healthcare context via Zeithaml, Berry, and Parasuraman’s (1993) conceptual framework. We employed a mixed methods design collecting both qualitative and quantitative data, which seeks to contribute to a deeper understanding of patient evaluation and expectations of service in the medical tourism industry.