The status of women in the Indian state of Kerala has long been portrayed as ideal in an otherwise highly patriarchal region of the world. And yet, as feminist scholars and activists in Kerala have long observed, reality fails to live up to popular imagination. Although the state boasts high female literacy, life expectancy, and a favorable sex ratio, female labor force participation rates in Kerala are among the lowest in India, and the mental health status of women in the state appears to be poor. Most troubling is the fact that violence against women in Kerala ranks among the highest of all India's states. Thus, despite significant gains in economic development over the past several decades, the evidence strongly suggests that the status of women in Kerala has declined since the mid-twentieth century. The question, then, is how are we to make sense of these contradictory trends? What theoretical tools are required, and what factors explain the apparent persistence of patriarchal institutions? Finally, how might a deeper understanding of these factors inform our analyses of gender more broadly in the region? Using the paradox of development that the Kerala example presents, the objective of this article is to suggest a theoretical direction for broadly analyzing contemporary gender issues in the geographical studies of South Asia. Particular emphasis is placed on understanding the intersections between economy and culture at multiple geographic scales, and the way particular gender ideologies emerge in the changing social, economic, political, and legal contexts.