This chapter discusses the extent to which local and regional governments have been recognised in the constitutions of Lesotho, South Africa, and Uganda. The South African Constitution gives local government institutions robust and detailed recognition. South Africa has generally followed a path of respect for the constitutional rules and deadlines with respect to local government institutions. Local government institutions were established in line with constitutional provisions, and where constitutional deadlines became unachievable, the Constitution was amended. In Uganda, however, basic constitutional requirements with respect to the establishment of regional institutions have not been met. Some of the very institutions that ought to carry out constitutionally allocated functions have never been established nor elected. Meanwhile, the Constitution of Lesotho does not elaborate on the institutions of local government. It leaves this to Parliament, which has indeed established local government institutions.