Introduction The increase in population coupled with ever-growing social-economic activities has led to an incredible increase in the number of automobiles on our roads. Because of this, there has been a steady increase in the number of road accidents particularly in metropolitan cities of the Middle East and Gulf countries. The growing number of road crashes is imposing substantial economic and social loads on the affected parties, and a range of indirect and direct financial implications. On the positive side, a good road network is vital for economic development. Good road networks have numerous benefits namely; cheap transport cost, people spending less time on road and more working, cheap maintenance cost of vehicles and generally low rate of accidents. On the other hand, poor road infrastructure will discourage investors as the cost of transport will be high, there is high rate of road carnage, and all this will have negative impact on the economy. In this paper, we will look at road safety in the Middle East and Gulf countries, global statistics, types of road crashes, causes of road accidents and solutions to road crashes. According to the World Bank Group report, more than 1.17 million lives are lost on road worldwide annually. Most of these deaths, approximately 70 percent take place in “developing countries. Sixty-five percent of deaths involve pedestrians and 35 percent of pedestrian deaths are children. Over 10 million are crippled or injured each year” (World Bank Group 1). Judging by these statistics, if nothing is done in developing nations to curb this menace, it is projected that as a minimum 6 million further lives will be lost and 60 million will be wounded in the next 10 years to come. Who is to blame for this growing rate of road accidents in developing nations and particularly in Middle East and Gulf countries? Is it drivers? No, we cannot point accusing fingers at the drivers only without factoring in some other contributing factors. Habitually, road repairs are restricted to putting in place drainage amenities and filling potholes, and not including replacement of missing guard rails, road markings, traffic signs, and other security attributes crucial to creating secure road network. If the road is not up to standard, no matter how careful road users are, there will significant accidents (Jacobs and Aeron-Thomas 3). Most road accident victims in growing nationals are not however motorized automobile occupants, but bicyclists, non-motorized automobile inhabitants, motorcyclists, and pedestrians. This is indeed a worrying trend especially with high statistics indicating motorcyclists and pedestrians as leading victims of road crashes. See appendix 1. To realize the extent of the road accident problem, it is prudent to compare the number of road crashes, and victims to geographical location and other indicative data and then evaluate this association among nations. Organizations such as the International Road Federation, Abu Dhabi Municipalities, Road Association of Engineers in the Middle East and Gulf Region and the International Association of Traffic and Safety Sciences have carried out research on road safety and economical implications presented data as seen in appendixes 2 and 3. However, the availability of the data on road usage is