This chapter focuses on India, Pakistan, Nepal and Bangladesh. It also explains the sex trafficking in South Asia. Contemporary globalization has intersected with local socio-economic-political processes and re-energized some of the older forms of trafficking by expanding the catchment area from where socio-economically women and girls are trafficked. The US Department of State has estimated that, globally, 70 percent of all trafficked females are trafficked for prostitution and other forms of sexual exploitation. While some women, men and children are trafficked for organ harvesting, and others primarily women and children are trafficked to provide coerced domestic, agricultural, construction, industrial, militia labor, the vast majority end up as resources for a rapidly growing commercial sex industry. The US Department of State report notes that children from Bangladesh and Nepal are routinely trafficked into India where they are forced into prostitution. Compared to the governments responses, the non-governmental organizations in South Asia has been more active in addressing the problem of sex trafficking.