India has been witnessing continuous growth in medical tourism owing to increasing global healthcare expenses, enhanced medical facilities, and growing digital interconnectivity, and Pune is also a leading competitor in terms of providing specialized and low-cost medical services. It is against this background that the study seeks to explore the effects of social media marketing when it comes to creating awareness, trust and destination choice among medical tourists who are looking at Pune. Directed by goals aimed at comprehending digital communication and evaluating the perceived utility of social media, the study should be designed as qualitative, descriptive, and analytical, all relying on secondary data obtained on the basis of scholarly articles, industry reports, websites of hospitals, and social sites. The study of the available literature and documented digital practices demonstrates that social media is the key to improving visibility, creating an impression of hospital credibility, and reaching out to the global patients via testimonials, video-related content, and interactive communication. The results suggest that social media helps a great deal in enhancing the Pune brand as a medical tourism destination by mitigating the information asymmetry, making healthcare brands more human, and increasing the international reach; structural elements like clinical quality, accreditation, and international affiliations continue to play a role in final patient choice. The study concludes that social media is a decisive facilitator of online reputation-building, but its power can be the most significant when combined with the sound healthcare standards. Shortcomings are experienced due to the sole use of secondary data, which does not allow one to see real-time patient behaviour. The study can be developed in the future to include primary data, cross-platform analytics, and comparative research with other medical tourism destinations to create more detailed and implementable results...