ABSTRACT The integration of IoT and cloud services enhances communication and quality of life, while predictive analytics powered by AI and deep learning enables proactive healthcare. Deep learning, a subset of machine learning, efficiently analyzes vast datasets, offering rapid disease prediction. Leveraging recurrent neural networks on electronic health records improves accuracy for timely intervention and preventative care. In this manuscript, Internet of Things and Cloud Computing-based Disease Diagnosis using Optimized Improved Generative Adversarial Network in Smart Healthcare System (IOT-CC-DD-OICAN-SHS) is proposed. Initially, an Internet of Things (IoT) device collects diabetes, chronic kidney disease, and heart disease data from patients via wearable devices and intelligent sensors and then saves the patient’s large data in the cloud. These cloud data are pre-processed to turn them into a suitable format. The pre-processed dataset is sent into the Improved Generative Adversarial Network (IGAN), which reliably classifies the data as disease-free or diseased. Then, IGAN was optimized using the Flamingo Search optimization algorithm (FSOA). The proposed technique is implemented in Java using Cloud Sim and examined utilizing several performance metrics. The proposed method attains greater accuracy and specificity with lower execution time compared to existing methodologies, IoT-C-SHMS-HDP-DL, PPEDL‐MDTC and CSO-CLSTM-DD-SHS respectively.