This essay is an attempt to explore the role of women missionaries in shaping the healthcare development in Kashmir during the late nineteenth and early twentieth centuries. These Christian missionary women played a primary role in establishing hospitals, clinics, and medical training institutions, with particular focus on serving women and children. Facing patriarchal limitations in their home countries, these missionaries found opportunities in Kashmir to practice medicine and gain professional recognition. However, their work was intimately tied to colonial structures, frequently reinforcing imperial power and Western dominance. Healthcare in Kashmir during this period was profoundly shaped by intersecting dynamics of gender and race. British women occupied important positions in missionary medical facilities, while native Kashmiri women, predominantly from marginalized groups, were relegated to subordinate roles as nurses, midwives, and assistants. This stratification both reflected and continued in the existing social hierarchies, aligned with colonial ideologies that positioned Western women as civilizing agents. These same perspectives influenced medical education for Kashmiri women, prioritizing Western medical approaches while marginalizing traditional knowledge systems and practices. Missionary hospitals in Kashmir became sites where race, gender, and colonial power intersected. Although presented as humanitarian project, these institutions commonly functioned as instruments of imperialism, promoting Western medical methodologies while undermining indigenous practices. Missionary efforts reinforced colonial authority by implanting Western healthcare within the social fabric of Kashmir. The emergence of women in professional healthcare roles reflected broader sociopolitical changes. Growing Indian nationalism and demands for greater autonomy in public health created opportunities for native women to enter the medical field.