Visited Kerala some 10 years ago now in our 60's, and like pascal30, found the local area well-developed, with good facilities, yet still with an exotic feel. We also visited adjacent Tamil Nadu, and that was most definitely a culture shock, with crushing poverty, and with beggars everywhere, poor souls. Many people in our tour group also came down with tummy troubles, so be prepared. We've no wish to return, and frankly, if we were still up to travelling that far, we'd much rather return to Singapore, where you can experience Chinese, India and Malay culture all on one fabulous island. More expensive than India, certainly, but well worth it. Another consideration about India is that it's not straightforward to visit. Check out the HMG site for advice. www.gov.uk/foreign-travel-advice/india