This article discusses the differences between Latin American and US water treatment facilities for small cities and towns, which include regionalization, financing, and design. Examples used in this article are taken from experiences in Brazil. Smaller cities and towns in Latin America are served by a regional organization. Financial assistance to smaller cities and towns is available through these regional organizations in the form of government loans which are indexed to the cost of living of the community. Water treatment plant design is simpler in Latin America. A minimum of pumps, motors, and other power equipment is employed. Modular and prefabricated components are utilized in standardized treatment plant designs. The author suggests that these concepts could easily be adapted for use in the United States. Includes 1 reference, table, figures.