Over the centuries the Malankara Church evolved shaped by interactions with various Christian traditions including those of Persian, East Syrian, and Western influences. A significant milestone in its history occurred in 1665 when it established a formal relationship with the Syriac Orthodox Church of Antioch. This relationship brought about the integration of West Syrian liturgical practices and ecclesiastical traditions.

However, the church's journey was not without challenges. The arrival of Portuguese colonial forces in the 16th century led to attempts to bring the Malankara Church under Roman Catholic jurisdiction. This resulted in the Coonan Cross Oath of 1653 where the Malankara Christians pledged to maintain their independence leading to a split and the eventual formation of the Malankara Orthodox Syrian Church.

The Malankara Orthodox Syrian Church operates under a unique constitution adopted in 1934 which provides a framework for governance and administration. The church is led by the Catholicos of the East who holds spiritual and temporal authority. The Holy Episcopal Synod comprising all bishops of the church plays a crucial role in decision-making processes.

The constitution emphasizes democratic principles with the Malankara Association a representative body of clergy and laity playing a significant role in electing bishops and managing church affairs. This blend of episcopal and democratic governance ensures a balanced and participatory administration.

The Malankara Orthodox Syrian Church adheres to the Nicene Creed and upholds the doctrines established by the first three ecumenical councils. It emphasizes the Holy Trinity the incarnation of Jesus Christ His resurrection and the sacraments as means of grace. The church practices seven sacraments: Baptism, Confirmation, Holy Eucharist, Confession, Matrimony, Anointing of the Sick, and Holy Orders.

The liturgy of the Malankara Orthodox Church is deeply rooted in ancient traditions primarily following the West Syrian Rite. The Qurbana (Holy Eucharist) is central to worship celebrated with rich symbolism and chants in Syriac and Malayalam.

The Malankara Orthodox Syrian Church with its profound historical roots well-defined constitution and rich theological heritage continues to be a vital spiritual community. It upholds the faith and traditions passed down through generations serving as a beacon of Orthodox Christianity in India and beyond.