We re join the team at the good karma hospital a year after ruby walker arrived in india. The formidable dr. Lydia fonseca is, as ever, a force to be reckoned with and she has big plans for ruby. She is determined to kick her out of her comfort zone and develop her skills as a doctor but it may prove to be too much too soon when ruby makes a snap decision in a crisis that could cost a patient s life. Ruby also connects with her indian heritage when a long lost relative gets in touch, and her discovery will bring her closer to dr. Varma. Meanwhile, dr. Fonseca's relationship with greg, the roustabout beach bar owner, faces challenges of its own. As series two takes us deeper into the keralan sub tropical paradise, excitement, despair, adventure and hardship are never far away, but a solution can always be found at the good karma hospital.