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The objectives of this research were to draw the medical tourism service encounters and to examine the relationship between service quality evaluation by the service encounters and overall service quality. The Leiper model of the tourism system, the medical tourism service process proposed by Park & Kim(2012), and medical tourism products were used for the medical tourism service encounters. Data were collected via self-reported questionnaire from 437 medical tourists who were visiting major medical institutions in Seoul, Kyonggi, and Busan. The findings indicated that service quality evaluation at the medical service encounter during visit has the largest impact on overall service quality, followed by the medical service encounter before visit, the tourism service encounter during visit and the transit service encounter.