The WHO Manual of Diagnostic Imaging: Radiographic Technique and Projections is one of several manuals published by the World Health Organization (WHO) in conjunction with the International Society of Radiology. The author, Staffan Sandstrom, is head of pediatric radiology at King Fahd National Guard Hospital in Saudi Arabia and senior consultant to the WHO Collaborating Centre for Education and Training in Radiology, Lund University Hospital, Lund, Sweden. The stated goal of this manual is to provide a basic summary of radiographic projections and techniques for health care personnel who are responsible for producing and interpreting radiographs in areas of the world that are less medically advanced. This softcover manual is divided into 11 chapters and is written in English. Chapter topics include information on good radiographic practice, radiation exposure, film processing, and basic radiographic examinations of the chest, abdomen, head, spine, and upper and lower extremities. The chapters on radiographic examination begin with an outline of the more common procedures for each body part (eg, the posteroanterior and lateral portions of the chest and the posteroanterior part of the skull) and include possible deviations (eg, a patient unable to stand but able to sit or a patient able to lie down but unable to stand or sit). The suggested cassette speed, cassette size, and sample exposure values for World Health Organization Imaging System for Radiology equipment are discussed for the basic radiographic examinations included in the manual. Basic instructions for performing the examination and comments regarding the quality criteria for the radiographs are included. A computer-generated color image illustrates the position of the patient, the radiographic equipment, and the location of the central ray. Representative radiographs are also included for each examination. The book is well organized. The information for performing and evaluating radiographic examinations is concise yet generally accurate. The instructions should be helpful for health care providers who are working in less developed countries and who have limited familiarity with radiographic examinations. The quality of the printing is excellent, as are the representative radiographs that illustrate each examination. The images are reproduced well and are of excellent density and contrast. I admit that I did not like the computer-generated illustrations at first. With time, however, I have come to believe that these illustrations may be superior to actual photographs since the illustrations are in color and appear to show more detail. One criticism, however, is that limited attention is given to radiation shielding. Although shielding is mentioned for personnel who are assisting in pediatric examinations, little emphasis is placed on gonadal shielding for adult examinations. The WHO Manual of Diagnostic Imaging: Radiographic Technique and Projections fulfills its goal of providing a cost-effective, basic text for health care providers in hospitals and institutions worldwide who may lack the equipment and/or diagnostic imaging skills necessary for performing the most basic imaging examination. The use of this manual in the United States, however, is limited. I recommend this book for those radiology personnel involved in medical missions and/or working in less developed countries. After reviewing the manual, I believe I am fortunate to enjoy the quality of health care and technical innovation that is enjoyed by the majority of those who live in the United States.