The morbidity and mortality of all 259 low birth weight deliveries [between 500 and 2, 500 grams] born at the King Khalid University Hospital [KKUH] , in Riyadh Saudi Arabia, between the Hejira years 1403-1404 [Gregorian years:mid-October 1982] are weighing less than 1, 000 gm at birth was 70%. There was a short-term handicap rate of 7%, of which 5% were deemed to have a major handicap. A case is made for regionalization to improve reproductive medical care in the Kingdom