Ravisankar K.V.
Fifth weekly frequency opens new horizons for God’s Own Country across medical tourism, wellness, hospitality, and trade sectors

Thiruvananthapuram, the capital of Kerala, is experiencing a renaissance in international connectivity that promises to unlock unprecedented opportunities across the state’s diverse tourism and business sectors. The launch of Maldivian’s fifth weekly frequency to Thiruvananthapuram International Airport, effective December 19, 2025, marks more than just another flight route – it represents a strategic gateway that could revolutionize Kerala’s inbound tourism, medical travel, wellness sector, hospitality industry, restaurants, transportation services, and export markets.
For Kerala Tourism, this enhanced connectivity offers a dual opportunity: welcoming affluent Maldivian travelers to experience God’s Own Country while positioning the state as the premier service hub for island nation residents seeking world-class healthcare, authentic Ayurveda, quality education, and cultural experiences. Additionally, industry experts are calling for the next transformative step: direct connectivity to Hanimaadhoo International Airport in North Malé Atoll, which could unlock an entirely new dimension of bilateral tourism and trade.
Medical Tourism: Kerala’s Growing Healthcare Export Market
Kerala has emerged as India’s leading medical tourism destination, and Maldivian patients represent one of the most significant and loyal international patient communities. The enhanced air connectivity directly supports this thriving sector with measurable economic benefits:
Economic Impact on Healthcare Sector
- Increased Patient Volume: Fifth weekly frequency enables better scheduling flexibility, allowing hospitals to optimize appointment calendars and increase patient throughput by an estimated 20-30%.
- Extended Treatment Packages: More flight options enable longer treatment protocols, particularly beneficial for oncology, cardiac rehabilitation, and fertility treatments that require multiple visits.
- Emergency Medical Evacuation Services: Improved frequency provides critical backup for medical emergency transfers, enhancing Kerala’s reputation as a reliable healthcare destination.
- Family Accompaniment Revenue: Medical tourists typically travel with 1-2 accompanying family members, multiplying the economic impact across hospitality, food services, and local transportation.
Premier Healthcare Institutions Benefiting from Connectivity
- Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST): National center of excellence in cardiac sciences and neurosciences, attracting high-value international patients.
- Regional Cancer Centre (RCC): One of Asia’s premier oncology centers providing comprehensive cancer care with advanced radiation therapy and chemotherapy protocols.
- Private Healthcare Network: KIMS Health Care, Ananthapuri Hospitals, SP Medi Fort, SUT Pattom, PRS Hospital, SK Hospitals, Credence Hospital, and Anadiyil Hospitals provide world-class multi-specialty care at competitive pricing.
- Specialized Centers: Advanced dental hospitals, eye care centers, and fertility clinics that serve international patients with specialized treatment protocols.

“Maldivian tourists have been the backbone of Kerala’s medical tourism sector for decades, and the enhanced connectivity through the fifth weekly frequency is a game-changer for both Thiruvananthapuram and Kochi. At KIMS Healthcare and across our tourism industry, we have witnessed firsthand how Maldivian patients and their families contribute not just to our healthcare sector but to the entire ecosystem – hotels, restaurants, transportation, real estates, and local businesses. With better flight frequencies, we can now offer more flexible appointment scheduling, accommodate emergency cases more effectively, and provide seamless treatment experiences. The future prospects are immensely promising. We are working to position Thiruvananthapuram and Kochi as comprehensive wellness and medical hubs, combining world-class tertiary care with Kerala’s unique Ayurveda heritage. Our goal is to attract even more Maldivian citizens by offering integrated packages that combine advanced medical treatments with authentic cultural and wellness experiences. The connectivity is there; now we must capitalize on it by delivering exceptional service and creating long-term partnerships with Maldivian healthcare providers and travel agencies.”
– Mr. E.M. Najeeb, President, Confederation of Kerala Tourism Industry and Executive Director, KIMS Healthcare Trivandrum
Ayurveda and Wellness Tourism: Authentic Healing Traditions Meet Modern Connectivity
Kerala’s authentic Ayurveda tradition represents a unique competitive advantage in the global wellness tourism market. Enhanced Maldivian connectivity opens significant opportunities for this traditionally strong sector:
Wellness Tourism Opportunities
- Panchakarma Packages: Traditional 14-21 day detoxification programs perfectly aligned with improved flight frequency, enabling Maldivian wellness seekers to plan comprehensive treatment schedules.
- Rejuvenation Retreats: Kerala’s heritage Ayurveda resorts in Thiruvananthapuram, Kovalam, Varkala, and nearby destinations can market multi-week wellness programs to affluent Maldivian travelers.
- Stress Management Programs: Targeted wellness packages for Maldivian hospitality industry professionals seeking rest and recuperation in Kerala’s serene backwaters and hill stations.
- Yoga and Meditation Centers: Kerala’s world-renowned yoga centers and meditation retreats can attract Maldivian wellness enthusiasts seeking spiritual and physical rejuvenation.
Economic Impact on Wellness Sector
- Extended Stay Revenue: Ayurveda treatments require minimum 7-14 day stays, generating sustained revenue for resorts, therapists, and support services.
- Herbal Medicine Exports: Increased Maldivian visitor exposure to authentic Kerala Ayurveda products creates ongoing export opportunities for herbal medicines, oils, and wellness products.
- Training and Certification: Opportunity to offer Ayurveda practitioner training programs to Maldivian healthcare professionals, establishing Kerala as the regional center of excellence.

“The enhanced connectivity between the Maldives and Kerala opens remarkable opportunities for authentic Ayurveda tourism. At Somatheeram Ayurveda Group, we have been pioneering authentic Ayurvedic treatments in a resort ambience for decades, and we see tremendous potential in partnering with Maldives-based inbound tour operators. Many of their Western European guests who visit the Maldives are increasingly seeking holistic wellness experiences that go beyond beach relaxation. By collaborating with Maldivian tour operators, we can offer their guests seamless wellness journeys that combine the tropical paradise of the Maldives with Kerala’s authentic Ayurveda heritage. Our NABH-accredited Ayurveda hospitals – Somatheeram, Ayur Soma, and Manaltheeram – provide genuine traditional treatments in luxurious resort settings that appeal to discerning international travelers. This is not spa tourism; this is authentic, physician-supervised Ayurvedic medicine practiced according to ancient traditions. With better air connectivity, we can create comprehensive packages where guests experience both destinations, significantly enhancing the value proposition for European travelers and creating a unique Kerala-Maldives wellness circuit that exists nowhere else in the world.”
-Mr. Baby Mathew Somatheeram, Chairman and Managing Director, Somatheeram Ayurveda Group
Hospitality Sector: Expanded Opportunities Across All Segments
Enhanced Maldivian connectivity creates revenue opportunities across Kerala’s diverse accommodation sector, from luxury beach resorts to budget medical tourism hotels:
Luxury and Wellness Resorts
- Beach Resort Destinations: Kovalam, Varkala, and Shanghumukham beach resorts can market wellness and leisure packages to Maldivian travelers seeking diverse beach experiences beyond their home islands.
- Heritage Properties: Palace hotels and heritage homestays offer unique cultural experiences unavailable in the Maldives, appealing to culturally curious travelers.
- Hill Station Escapes: Ponmudi and nearby hill stations provide cool-climate experiences highly valued by tropical island residents.
Medical Tourism Accommodation
- Hospital-Adjacent Hotels: Budget and mid-range hotels near major hospitals serve medical tourists and accompanying families, providing consistent occupancy throughout the year.
- Recovery Facilities: Specialized recovery accommodations with nursing support cater to post-surgery patients requiring extended care outside hospital settings.
- Long-Stay Apartments: Serviced apartments for patients requiring extended treatment protocols, particularly for cancer therapy and rehabilitation.
Educational Tourism Accommodation
- Student Hostels and PG Accommodations: Dedicated facilities near major educational institutions serve Maldivian students pursuing degrees in medicine, engineering, hospitality, and other fields.
- Parent Visit Facilities: Hotels catering to families visiting students during admission, semester breaks, and special occasions.
Restaurant and Food Services: Catering to Diverse Palates
The Maldivian visitor community represents a significant opportunity for Kerala’s diverse food service sector, from traditional Kerala cuisine to international dining experiences:
Halal-Certified Dining Network
- Established Halal Infrastructure: Thiruvananthapuram’s significant Muslim population ensures extensive halal dining options, from street food to fine dining establishments.
- Seafood Specialties: Kerala’s renowned seafood cuisine resonates strongly with Maldivian visitors who appreciate fresh fish preparations and coastal culinary traditions.
- Traditional Kerala Cuisine: Sadya (feast on banana leaf), appam with stew, and other authentic dishes offer unique culinary experiences for island visitors.
Medical and Wellness Dining
- Hospital Cafeterias and Catering: Services supporting medical tourists and families during extended hospital stays.
- Ayurveda Sattvic Cuisine: Specialized wellness restaurants offering treatment-compliant vegetarian and ayurvedic meal preparations.
- Nutrition Counseling Services: Restaurants and cafés providing therapeutic diets for patients with specific health conditions.
Cultural Dining Experiences
- Heritage Restaurants: Traditional Kerala homes converted into dining experiences showcasing authentic cooking methods and family recipes.
- Farm-to-Table Concepts: Organic restaurants featuring fresh Kerala produce, appealing to health-conscious Maldivian travelers.
- International Cuisine Options: Chinese, Continental, and Arabian restaurants catering to diverse preferences of long-stay visitors.
Transportation Sector: Connecting Visitors to Experiences
Enhanced air connectivity drives demand across Kerala’s ground transportation infrastructure, creating opportunities for tourism operators, taxi services, and specialized transport providers:
Airport Transfer Services
- Airport Taxi and Cab Services: Increased flight frequency generates consistent demand for airport transfers to hospitals, hotels, and educational institutions.
- Luxury Car Rentals: Premium vehicle services for affluent Maldivian medical tourists and their families.
- Medical Transport Services: Specialized ambulance and wheelchair-accessible vehicles for patient transfers.
Tourism Transport
- Day Tour Operators: Sightseeing services to Kovalam, Varkala, Ponmudi, Poovar, and other attractions generate additional revenue from extended-stay visitors.
- Multi-Day Tour Packages: Operators offering backwater cruises, hill station tours, and cultural circuit experiences benefit from Maldivian leisure travelers.
- Houseboat Services: Backwater tourism packages attract Maldivian visitors seeking unique water-based experiences different from ocean environments.
Specialized Transport
- Hospital Shuttle Services: Regular shuttle routes between hotels and major medical facilities serve medical tourists.
- Educational Institution Transport: Services connecting student accommodations to colleges and universities.
- Shopping and Logistics Services: Transport for visitors purchasing medical supplies, educational materials, and Kerala products for export.
Business and Export Sectors: Leveraging Air Connectivity for Trade Growth
Beyond tourism and healthcare, enhanced air connectivity creates significant opportunities for Kerala’s export-oriented businesses and trade sectors:
Agricultural and Food Exports
- Fresh Produce: Air cargo capacity enables export of fresh fruits, vegetables, and spices to Maldivian resort kitchens and retail markets.
- Seafood Products: Value-added processed seafood and marine products find ready markets in Maldivian hospitality sector.
- Ayurveda and Wellness Products: Herbal medicines, oils, cosmetics, and wellness products developed in Kerala appeal to Maldivian spa and healthcare markets.
Construction and Building Materials
- Resort Development Supplies: Kerala manufacturers can supply tiles, fixtures, furniture, and finishing materials for growing Maldivian resort construction.
- Specialized Products: Eco-friendly building materials, water conservation systems, and solar equipment find applications in sustainable resort development.
Services Export
- Healthcare Consulting: Kerala medical institutions can provide telemedicine services, medical consultation, and training programs to Maldivian healthcare facilities.
- Hospitality Training: Kerala’s tourism institutes can offer training programs for Maldivian resort staff in culinary arts, housekeeping, and guest services.
- IT and Technology Services: Software development, digital marketing, and technical support services from Kerala’s growing IT sector.
Kerala Outbound Tourism: Opening Island Paradise to God’s Own Country
While inbound Maldivian tourism drives significant revenue, enhanced connectivity also creates opportunities for Kerala residents to experience the Maldives more affordably and conveniently:
Affordable Maldives Access for Kerala Travelers
- Honeymoon and Wedding Tourism: Kerala couples gain affordable access to Maldivian luxury resorts for destination weddings and romantic getaways.
- Family Vacation Packages: Middle-class Kerala families can now consider Maldives as an accessible international destination rather than an exclusive luxury option.
- Short Break Tourism: Weekend and extended weekend trips to Malé for shopping, cultural experiences, and brief resort stays become practical.
Business and Professional Travel
- Trade Missions: Kerala exporters and business delegations gain convenient access for trade development and business meetings in Malé.
- Professional Services: Healthcare professionals, hospitality consultants, and technical experts can travel for training programs and consulting assignments.
- Educational Exchanges: Faculty and students from Kerala institutions can participate in exchange programs and collaborative research with Maldivian counterparts.

“As South India’s largest B2B tour operator for the Maldives market, we at Mausum Holidays have witnessed firsthand the transformational impact of improved air connectivity. The fifth weekly frequency to Kochi and Thiruvananthapuram is an excellent news, but the real game-changer would be direct connectivity to Hanimaadhoo International Airport. Currently, Indian outbound travelers, particularly from Kerala and South India, face a significant barrier: the cost of transfers from Malé to northern atoll resorts often equals or exceeds the resort room rates themselves. A family spending Rs. 30,000 per night on a luxury resort room might pay Rs. 80,000-1,00,000 just for seaplane transfers – this is simply unsustainable for the middle-class market. With direct Thiruvananthapuram or Kochi to Hanimaadhoo connectivity, we can unlock the Maldives luxury resort experience for millions of Indian travelers who are currently priced out of the market. For Kerala specifically, this creates enormous opportunities: our honeymooners, family vacationers, and corporate incentive groups can access world-class resorts at genuinely affordable all-inclusive rates. This connectivity will benefit travelers across India by providing a cost-effective gateway to the Maldives, and it positions Kerala airports as the primary hub for Indian Maldives tourism. From a business perspective, we’re ready to scale operations significantly – we estimate demand could increase by 300-400% if direct Hanimaadhoo flights become available. The infrastructure, the demand, and the willingness are all there. What we need now is the airline courage to launch this route.”
– Mr. Sajeer Padikkal, President, Malabar Tourism Council and Managing Director, Mausum Holidays, Tirur in Malappuram.
The Next Frontier: Hanimaadhoo Connectivity and Transformational Tourism Economics
While the fifth Malé frequency delivers immediate benefits, industry experts emphasize that direct connectivity between Kerala airports (Thiruvananthapuram or Kochi) and Hanimaadhoo International Airport in North Malé Atoll represents a transformational opportunity that could revolutionize bilateral tourism and trade.
Why Hanimaadhoo Matters for Kerala Tourism
- Closest International Airport: Hanimaadhoo is significantly closer to Thiruvananthapuram than Malé, with a flying time of just 30 minutes, making it the most efficient connection point.
- Massive Indian Market Access: Direct connectivity eliminates the current barrier of expensive resort transfers (USD 400-600 per person for seaplanes), opening North Atoll luxury resorts to India’s price-sensitive middle-class travelers.
- Resort Occupancy Boost: Maldivian resorts in northern atolls currently experience low occupancy from Indian travelers due to prohibitive last-mile costs. Direct flights could increase occupancy rates by 40-60%, with Kerala serving as the primary source market.
- Cultural and Linguistic Connections: The northern atolls are geographically and culturally connected to Lakshadweep, with linguistic similarities between Dhivehi and Malayalam facilitating easier communication and cultural exchange.
Economic Impact: Solving the Last-Mile Cost Crisis
The compelling economics of Hanimaadhoo connectivity extend beyond just tourist convenience. Currently, a family of four could spend USD 1,200-2,400 on transfers alone-often matching or exceeding their total accommodation costs. This absurd situation is deterring potential guests and leaving resort rooms empty.
By establishing direct Thiruvananthapuram or Kochi to Hanimaadhoo flights, Kerala tourism industry stakeholders gain:
- Outbound Package Tour Revenue: Travel agencies can create affordable Maldives luxury resort packages, previously impossible due to transfer costs, opening entirely new revenue streams.
- Competitive All-Inclusive Pricing: Kerala tour operators can negotiate better rates with northern atoll resorts eager to fill rooms, offering packages competitive with traditional beach destinations.
- Extended Season Business: Maldives as a year-round destination complements Kerala’s monsoon season, allowing tour operators to diversify offerings and maintain steady business.
- Charter Flight Potential: High demand could support charter operations during peak wedding and holiday seasons, maximizing route profitability.
Airport Infrastructure: Revenue Growth for Kerala Aviation Hubs
Enhanced Maldivian connectivity delivers substantial business growth opportunities for Kerala’s airport infrastructure operators:
Thiruvananthapuram International Airport (Adani Airports)
- Landing and Parking Fee Revenue: Each additional weekly frequency generates consistent landing fees, aircraft parking charges, and ground handling revenues.
- Passenger Amenity Charges: Increased passenger traffic directly translates to higher passenger fee collections on both departures and arrivals.
- Commercial Revenue Growth: Expanded terminal utilization drives duty-free sales, F&B services, retail operations, and parking revenues.
- Cargo Operations: Air freight capacity for exports to Maldives generates additional cargo handling fees and warehouse utilization.
Cochin International Airport
- Potential Hanimaadhoo Route Benefits: If direct Kochi-Hanimaadhoo connectivity is established, Cochin International Airport stands to gain similar aircraft movement fees, passenger charges, and commercial revenues.
- Enhanced Infrastructure Utilization: Additional international routes maximize return on airport infrastructure investments and support justification for further expansion.
- Regional Connectivity Hub Status: Positioning as the gateway to Maldives enhances the airport’s strategic importance in South Asian aviation networks.
Call to Action: Seizing the Connectivity Opportunity
For Kerala’s tourism stakeholders, the enhanced Maldivian connectivity represents both an immediate opportunity and a strategic foundation for long-term growth:
For Kerala Tourism Department
- Market Kerala Aggressively in Maldives: Develop targeted campaigns showcasing medical excellence, authentic Ayurveda, cultural experiences, and educational opportunities.
- Create Maldivian-Specific Packages: Design tourism products specifically appealing to island visitors seeking diverse experiences – backwaters, hill stations, cultural heritage, and wellness retreats.
- Facilitate Business Partnerships: Organize trade missions connecting Kerala service providers with Maldivian resort operators, healthcare facilities, and educational institutions.
For Healthcare Institutions
- Enhance Medical Tourism Infrastructure: Develop dedicated international patient services, multilingual staff support, and culturally appropriate facilities.
- Establish Representative Offices: Consider opening liaison offices in Malé to facilitate direct patient referrals and treatment coordination.
- Create Telemedicine Links: Develop technology platforms enabling remote consultations and follow-up care for Maldivian patients.
For Ayurveda and Wellness Sector
- Market Authentic Kerala Experiences: Position Kerala as the global center of authentic Ayurveda, distinguishing from commercialized wellness offerings elsewhere.
- Develop Signature Packages: Create comprehensive wellness programs combining Ayurveda treatments, yoga, meditation, and cultural immersion specifically for Maldivian clientele.
- Export Wellness Products: Leverage visitor exposure to develop sustained export relationships for authentic Kerala Ayurveda products to Maldivian spa and wellness markets.
For Hospitality Industry
- Develop Maldivian-Friendly Services: Train staff in cultural sensitivity, ensure halal dining availability, and create family-friendly facilities.
- Create Medical Tourism Partnerships: Establish formal relationships with hospitals to provide seamless accommodation for medical tourists and families.
- Market Long-Stay Packages: Develop attractive rates for extended stays required for medical treatments, Ayurveda programs, and educational visits.
For Airlines: The Hanimaadhoo Opportunity
Kerala’s aviation industry stakeholders should actively engage with IndiGo, Air India, and Maldivian to advocate for direct Thiruvananthapuram or Kochi to Hanimaadhoo connectivity. The business case is compelling:
- Massive Untapped Market: India’s middle class represents hundreds of millions of potential travelers currently priced out of Maldives luxury resort market.
- Year-Round Demand: Unlike seasonal beach destinations, Maldives maintains appeal year-round, supporting consistent flight loads.
- First-Mover Advantage: The airline establishing this route first captures market leadership and builds brand loyalty in both outbound and inbound markets.
- Bilateral Benefits: Route supports both leisure tourism and medical/educational travel, diversifying revenue sources and reducing seasonal dependency.
A Strategic Partnership for Shared Prosperity
The enhancement of Maldivian air connectivity to Thiruvananthapuram represents far more than additional flights on a route map. It embodies a strategic partnership between two neighboring regions with complementary strengths and shared opportunities for growth.
For Kerala, this connectivity unlocks revenue potential across medical tourism, wellness and Ayurveda, hospitality, restaurants, transportation, exports, and educational services-sectors that collectively employ hundreds of thousands and contribute billions to the state economy. The Maldivian visitor community represents a loyal, high-value market segment with strong cultural compatibility and demonstrated long-term commitment to Kerala as their preferred destination for healthcare, education, and cultural experiences.
Simultaneously, enhanced connectivity positions Kerala residents to access the Maldives more affordably for leisure travel, business development, and professional exchanges. The potential establishment of direct Hanimaadhoo connectivity would be truly transformational, eliminating cost barriers that currently prevent millions of middle-class Indian travelers from experiencing Maldivian luxury resorts while simultaneously providing northern atoll resorts access to their largest potential source market.
Kerala’s tourism stakeholders-government agencies, healthcare institutions, wellness centers, hotels, restaurants, transport operators, exporters, and airports – must now actively leverage this enhanced connectivity. The infrastructure, services, and cultural compatibility are already in place. What’s required now is coordinated marketing, product development, and sustained engagement with Maldivian markets to maximize this opportunity.
The skies between Kerala and the Maldives are opening wider. The question is not whether this connectivity creates opportunities – the economic and social benefits are abundantly clear. The question is how effectively Kerala’s diverse stakeholders will mobilize to capture this moment and build a sustained, mutually beneficial partnership with our island neighbors. God’s Own Country has the opportunity to become the premier gateway to and from island paradise. The time to act is now.
Travel Information
- Fifth Weekly Frequency: Effective December 19, 2025
- Route: Malé (MLE) – Thiruvananthapuram (TRV)
- Return Fare: USD 232 (approximately MVR 3,581) including meals and baggage
- Booking: Visit Maldivian’s website or contact local travel agents
For Kerala tourism information, medical tourism services, Ayurveda packages


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