The aim of this research is to analyse how adaptation / standardisation, trust and network development counter the challenges created by intangibility and heterogeneity of service in the case of Philippine Gamma Knife Incorporated. This research used qualitative data that were gathered through unstructured interviews, direct observation and documents.

The adaptation / standardisation, trust and network facilitate service visibility and decrease heterogeneity of a health care service. Among the variables adaptation / standardisation signifies an important role; however, trust manifestation was concluded more significant compared to network in a cultural environment such as that found in the Philippines. Moreover, culture was found to be an important role in the development of adaptation / standardisation, trust and network processes.