The Department of Cardiology at Government Medical College, Thiruvananthapuram, established in 1972, is the first cardiology department in the public sector in Kerala. Since its inception, the department has been a pioneer in delivering advanced cardiac care, offering comprehensive outpatient, inpatient, and 24×7 consultation services for all major cardiac conditions. Over the decades, the department has consistently achieved several milestones, including Kerala’s first coronary angioplasty (1998), first primary angioplasty (1999), first BMV (1999), and the first percutaneous ASD closure (2001) in government sector hospitals. It has also been at the forefront of electrophysiological procedures, 24-hour primary angioplasty services, and most recently, advanced structural interventions such as TAVR (2023) and Trans-carotid TAVR (2024). In 2025, it became the first among Kerala Government Medical College Hospitals to implant a leadless pacemaker. With continuous advancements in patient care, clinical training, and interventional cardiology, the department remains at the forefront of cardiovascular medicine in the region with the vision to grow into a centre of excellence