This study delves into the intricacies of patient experiences within the healthcare system of Tenkasi District, scrutinizing the challenges encountered by patients in both public and private hospitals. Key themes emerged, highlighting disparities in access, quality of care, financial burden, and patient satisfaction between public and private healthcare facilities. Findings indicate that while public hospitals grapple with overcrowding and resource constraints, private hospitals pose financial challenges, often resulting in substantial out-of-pocket expenses for patients. Additionally, issues of transparency, communication, and patient empowerment surfaced as pivotal concerns across both sectors. The implications of these findings underscore the necessity for targeted interventions to address systemic shortcomings and foster equitable healthcare provision in Tenkasi District. This research contributes valuable insights for policymakers, healthcare providers, and stakeholders in improving patient-centred care and enhancing the overall quality of healthcare delivery in the region.