Medical tourism is a trend in the tourism market. However, not many companies providing medical tourism services follow by shariah compliant. As an Islamic country, Malaysia has potential to offer shariah medical tourism as another attraction to medical tourists. In line with this development, the paper will adopts two case studies into assessing of practice of Shariah compliant among government and private medical tourism operators in Malaysia which is a government hospital have been identified as “Hospital Mesra Ibadah”. The selected from government hospital is HUSM Kubang Kerian, Kelantan and from private hospital; Al-Islam Specialist Hospital, Kampung Baru, Kuala Lumpur. An overview of shariah medical tourism practice such as the treatments, facilities, services and the management of the hospital will also present.