Global warming is a serious problem, with significant negative impacts on agricultural productivity. To better understand plant anatomical adaptation mechanisms as responses to heat stress, improved basic knowledge is required. This research studied the physiological and anatomical responses of Khao Dawk Mali 105 (KDML105) to artificial heat stress. Dehusked seeds were sterilized and cultured on Murashige and Skoog (MS) medium, supplemented with 3 mg/L 2,4-Dichlorophenoxyacetic acid (2,4-D) for callus induction. The cultures were maintained at 25 °C and 35 °C for 4 weeks, while the other culture was treated with heat shock at 42 °C for 1 week before further incubation at 25 °C for 3 weeks. Results revealed that elevated temperatures (35 °C and 42 °C) adversely impacted seedling growth. Plant height, root length, leaf number per plant, fresh and dry weight, chlorophyll a, chlorophyll b and total chlorophyll content decreased after heat stress treatment, while malondialdehyde (MDA) and electrolyte leakage percentage significantly increased, compared to the control. Heat stress induced ROS accumulation, leading to lipid peroxidation and membrane instability. Principal component analysis (PCA) and hierarchical cluster analysis (HCA) results also confirmed negative correlations between MDA, electrolyte leakage and other parameters. MDA content and electrolyte leakage are effective indicators of heat stress in rice. Surface anatomical responses of rice seedlings to heat stress were studied but significant alterations were not observed, and heat stress had no significant negative effects on KDML105 calli. Size and mass of calli increased because heat stress stimulated gene expression that induced thermotolerance. Our results provide useful information for rice breeding and heat stress tolerance programs to benefit long-term global food security.