Localized tropical rainfall changes commonly occur on 500-1,000 km scales under various climate forcings, but understanding their causality remains challenging. One helpful process-oriented diagnostic (POD) decomposes the effects of undilute buoyancy and lower free-tropospheric moisture through a precipitation-buoyancy relationship, but its applicability at subregional scales is uncertain. We examine month-to-month rainfall changes in five South Asian monsoon subregions. The POD accurately characterizes the precipitation-buoyancy relationship across all subregions and months, successfully predicting the sign of monthto-month rainfall changes in four out of five subregions. However, the POD’s ability to predict rainfall change magnitudes and identify causal mechanisms varies considerably, providing confident explanations in only one subregion (central India), where lower free-tropospheric moisture, and increased sensitivity to this moisture, dominates changes. These findings highlight the limitations of the POD, and we caution against using the POD as a standalone tool at these scales for predicting rainfall changes or decomposing their drivers.