[1] Madhesh works in Tamil cinema as a director, producer and writer.

[2] He began his career by financing Shankar's Mudhalvan (1999),[3] which was successful and was subsequently remade into a Bollywood film under the title Nayak (2001).

After the success of his directorial debut with Vijay in Madhurey (2004), Madhesh has directed other movies including the crime thriller Arasangam (2008) and the action comedy Mirattal (2012).

[4] In 2018, Madhesh directed the Tamil horror thriller Mohini, which starred Trisha in the lead role.

[5] In 2019, Madhesh wrote and directed "Sandakari", featuring Vemal and Shriya Saran.