The paper aims to describe certain aspects of illnesses and compare health facilities between regions in eastern Nepal. The focus is on diseases whose remedies have implications for changes in socio-cultural conditions. The impact of health services as they presently exist is discussed from the points of views of doctors, administrators, health workers and villagers. Data was collected in interviews and by observations in Solukhumbu, Dhankuta, Jhapa and Dhanusha districts in the months preceding a nation-wide integration of basic health services.