
The Good Karma Hospital is a medical drama series that aired from 2017 to 2023, spanning four seasons. The show follows junior doctor Ruby Walker, who travels to South India in search of a fresh start after becoming disillusioned with her life and broken relationship in the UK. In India, she finds herself working at the Good Karma Hospital, an under-resourced and overworked cottage hospital run by the strong-willed English expat Dr. Lydia Fonseca. The series, starring Amanda Redman and Amrita Acharia, was filmed in southern Sri Lanka and received mixed reviews from critics. Despite some criticism for lacking originality, the show was praised for its engaging characters, beautiful scenery, and mix of humour and heartbreak.
| Characteristics | Values |
|---|---|
| Number of series | 4 |
| Number of episodes per series | 6 |
| Length of series run | 2017–2023 |
| Production company | Tiger Aspect Productions |
| Network | ITV |
| Filming locations | Unawatuna in southern Sri Lanka, Thiranagama Golden Beach Restaurant, and some other places in Galle District |
| Main cast | Amanda Redman, Amrita Acharia, James Krishna Floyd, Nimmi Harasgama, Neil Morrissey, Darshan Jariwala, Harki Bhambra, Rebecca Ablack, Raquel Cassidy |
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What You'll Learn

Junior doctor Ruby Walker travels to South India
The Good Karma Hospital is a medical drama series that aired from 2017 to 2023, spanning four seasons. The series follows junior doctor Ruby Walker, who travels to South India in search of a new beginning after becoming disillusioned with her life and heartbroken over a broken relationship.
In the series, Ruby finds herself working at The Good Karma Hospital, a cottage hospital that is under-resourced and overworked. The hospital is run by the strong-willed English expat Dr. Lydia Fonseca. Ruby must navigate the challenges of working in a hospital with minimal facilities and eccentric patients and coworkers.
Ruby arrives in India with expectations of sunshine and beautiful beaches. However, she soon discovers that the realities of working in an under-resourced hospital are quite different. The series explores the contrast between Ruby's expectations and the day-to-day struggles of working in a hospital in South India.
The series is shot in southern Sri Lanka, specifically in Unawatuna and the Galle District. The choice of location contributes to the exotic and memorable nature of the series, as described by critics. The setting helps to create a sense of realism for the various episodes, despite the story being set in India.
Overall, the series offers a mix of humour and heartbreak, with relatable and engaging characters. The Good Karma Hospital provides an insightful look at the challenges faced by Ruby Walker as she navigates her new life and work in South India.
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Dr Lydia Fonseca runs the under-resourced hospital
The Good Karma Hospital is a medical drama series that aired from 2017 to 2023, with four seasons in total. The show follows Dr. Ruby Walker, a junior doctor who becomes disillusioned with her life and broken relationship and travels to South India, hoping to start afresh.
Dr. Lydia Fonseca, played by Amanda Redman, is an English expat and the strong-willed leader of The Good Karma Hospital. The hospital is described as under-resourced, overworked, and run-down, with Dr. Walker having to negotiate her English sensibilities with the realities of working with limited resources and treating patients who lack financial means.
Dr. Fonseca, as the leader of this hospital, faces the challenges of managing a medical facility with limited resources. She has to navigate the complexities of providing quality care with inadequate funding, equipment, or staff. The hospital's setting in South India adds a layer of cultural and geographical differences that further stretch the resources and capabilities of the medical team.
The show portrays the struggles and triumphs of the hospital staff as they navigate these challenges, treating eccentric patients and managing their personal lives. The mix of mature and younger cast members adds a dynamic element to the series, and the beautiful and exotic setting in Sri Lanka, despite being set in India, enhances the visual appeal of the show.
The Good Karma Hospital received generally positive reviews, with critics praising its engaging storylines, interesting characters, and beautiful scenery. The show provided a unique blend of humour, heartbreak, and medical drama, capturing the nostalgia of India for those familiar with the country.
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The show was filmed in Sri Lanka
The Good Karma Hospital is a medical drama series about a junior doctor, Ruby Walker, who becomes disillusioned with her life and broken relationship and decides to leave the UK for a job in South India. Although the show is set in India, it was actually filmed in Sri Lanka.
The show was filmed in and around the city of Galle in southern Sri Lanka. Galle is a popular tourist destination known for its turtle hatches, sandy beaches, and coral reefs. The specific areas in Galle where the show was filmed include Unawatuna, a coastal town in the suburbs of Galle, and the Thiranagama Golden Beach Restaurant. The beach behind Unawatuna beach served as the set for the hospital that features in the series.
In addition to Galle and Unawatuna, other filming locations in Sri Lanka included Weligama, a town in the Matara District known for its surf and picturesque beaches, and Hikkaduwa, a town in southwestern Sri Lanka that is also popular for its surf and beaches.
The decision to film in Sri Lanka was noted by series three director Philip John, who spoke about the impact of filming in the country on him personally. He shared how the crew often enlisted up to 600 locals as background extras and reflected on the resilience of the people despite the challenges the country has faced, including poverty, civil war, and the 2004 tsunami.
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The fourth series aired in 2022
The fourth series of the Good Karma Hospital aired in 2022. The show is a medical drama series produced by Tiger Aspect Productions for ITV. It follows junior doctor Ruby Walker, played by Amrita Acharia, who travels from the UK to South India, hoping for a fresh start.
The fourth series began airing on 23 January 2022. Each of the four seasons comprised six episodes. The show was filmed in southern Sri Lanka, including Unawatuna and the Thiranagama Golden Beach Restaurant, as well as other locations in the Galle District.
The fourth series saw the return of several cast members, including Darshan Jariwala, Nimmi Harasgama, Harki Bhambra, Rebecca Ablack, and Raquel Cassidy. The series also featured the return of a familiar face to the Good Karma Hospital, as well as the development of the relationship between Samir and Mari following a tragic case.
On 8 November 2022, it was announced that the show had been cancelled after its fourth series, due to cast commitments and growing unrest in Sri Lanka.
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The show was cancelled after four seasons
The Good Karma Hospital, a medical drama series, came to an end after four seasons. The series followed junior doctor Ruby Walker, played by Amrita Acharia, who travels to South India in search of a fresh start. The show was filmed in southern Sri Lanka and some other locations in the Galle District.
The first series aired in 2017, and the show was soon recommissioned for a second and third series. The fourth and final season began airing in the UK on 23 January 2022 and was announced to be cancelled on 8 November 2022. The decision not to renew the series was attributed to cast commitments and growing unrest in Sri Lanka.
The show received mixed reviews from critics. Gayle Pennington of the St. Louis Post Dispatch praised the first season, describing it as "a magical combination of familiar and exotically foreign…. a drama you’ll remember long after you finish watching it." However, other critics, such as Deborah Ross for Event Magazine, found the series unoriginal and unchallenging.
Despite the mixed reviews, the show garnered a dedicated fan base who enjoyed the mix of mature and younger cast members, the beautiful scenery, and the engaging characters and storylines. The series is described as having "decent writing, good acting, generally relatable likable characters, good production values, beautiful scenery, humour, a little suspense, [and] a little romance."
Although the show has come to an end, all four seasons of The Good Karma Hospital are available to stream on platforms such as ITV Hub and Prime Video, allowing fans to revisit their favourite moments and new viewers to discover the show.
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Frequently asked questions
There are four seasons of The Good Karma Hospital.
The first series aired in 2017.
The fourth and final series aired in 2022.
There are six episodes in each series.
The series is filmed in Sri Lanka.



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