The objectives of this research were (1) To study the influence of the service quality which consisted of the dimensions of tangible reliability responsiveness assurance and empathy on customer trust; (2) To study the influence of the service quality and customer trust on customer satisfaction; (3) To study the influence of customer trust and satisfaction on the positive word of mouth; (4) To study the influence of customer trust and satisfaction on customer revisit and (5) To validate the causal relationship model of the influence of service quality on trust customer satisfaction customer positive word of mouth and revisit of Rama II Hospital with empirical data. The variables in this investigation consisted of the following; service quality which consisted of the dimensions of (1) tangible; (2) reliability (3) responsiveness (4) assurance and (5) empathy as the independent variable; customer trust and satisfaction as mediating variables and customer positive word of mouth and revisit as dependent variables.