Ethical and evidence-based medical communications are gaining increasing importance in emerging pharmaceutical markets, outside of North America and Western Europe. In large pharmaceutical companies resources are limited, and small and mid-sized companies may lack the infrastructure and technical knowhow to provide these services for emerging markets. Required skills and competencies include scientific knowledge, communication skills, analytical skills, and awareness of global as well as regional legal and ethical requirements for pharmaceutical product information. India is already a preferred destination for outsourcing medical writing for regulatory documents and has the potential to become a ‘hub’ for medical communications services. Skilled medical writers in India can help global pharmaceutical companies to reach out to healthcare professionals and patients in the emerging markets with evidence-based information related to their products.