The rapid expansion of medical tourism has been accompanied by an increasing reliance on telemedicine for pre-operative consultations and post-treatment follow-up care across jurisdictions. While this integration presents promising continuity of care and improvement in patient convenience, it also exposes significant legal gaps in legal liability, regulatory compliance, and data governance. This paper examines the intersection of medical tourism and telemedicine, emphasizing how the absence of harmonized legal frameworks between host and home countries creates challenges for both healthcare providers and patients. Utilizing a normative juridical method combined with a comprehensive legal analysis of prominent medical tourism destinations, the study extracts insights from a thorough literature review to analyse regulatory frameworks in key medical tourism hubs and patient-exporting countries, aiming to identify areas of misalignment and legal ambiguity. It advocates for the establishment of international legal instruments and bilateral agreements that delineate provider responsibilities, ensure informed consent, and protect patient rights in transnational care arrangements. By proposing a model for cross-border legal alignment in telemedicine-based follow-up care, this paper aims to ensure legal certainty, safeguard patient welfare, and create a safer, more coherent system for global healthcare delivery in the era of digital medicine.