The health-care system in Sri Lanka is similar to those in other developing countries and access to health services for remote communities is extremely limited. We reviewed the literature about e-health in Sri Lanka. The use of information and communication technologies (ICTs) in private hospitals is more common than in public hospitals. The use of ICT in general practice is increasing. A number of international organizations have initiated various pilot projects, including disaster relief efforts, education initiatives and telemedicine. In addition, several institutions and organizations are dedicated to the promotion of e-health and a range of Web-based health consultancy services have begun. Although e-health seems to have a limited role in Sri Lanka at present, there is growing interest in the opportunities it may offer in terms of improving the delivery and access to services, especially in remote locations.