Sri Lanka remains a moderate performer in health status and is on par with its South Asian counterparts. Successive governments' welfare orientated policies coupled with continued state obligation to address health needs of the population have exerted pressure on state healthcare providers to increase the public expenditure ratio to Gross Domestic Product (GDP). The continuous decline in growth of investment in the health sector has impacted on the efficiency and effectiveness of the public health system. With a dual health system in operation, its equity and effectiveness has become a challenging task in the context of protection for the poor in respect of access to basic medical services. This study highlights situations, which creates a window of opportunity to policy makers and Ministry of Health to revisit the existing health policy to accommodate a selective Public Private Partnership (PPP) to clear the gaps in health care delivery to the people. Given the opportunity, private sector organizations too could spread out their facilities to enable access of to a wider section of the patient population at a reasonable and affordable cost. http://www.ips.lk/index.php/20-latest-publicationss/20-latest-publicationss/1274-transforming-health-care-delivery-in-sri-lanka