"Total Quality Management in Kerala's Healthcare Sector" explores the critical role of TQM in enhancing service quality within the state's private hospitals. With rising patient expectations and evolving healthcare demands, the book examines how TQM principles-such as leadership commitment, patient-centered care, and continuous staff development-contribute to operational excellence. While hospitals demonstrate strengths in service quality and employee training, challenges persist in cross-department coordination and staff participation in decision-making. The study finds that managerial qualifications do not significantly influence TQM adoption, emphasizing instead the importance of institutional culture and structured quality initiatives. Practical recommendations are provided to strengthen healthcare delivery, ensuring both patient satisfaction and employee engagement. This work serves as a valuable resource for healthcare administrators and policymakers seeking to implement sustainable quality improvements in Kerala's dynamic medical landscape.