OBJECTIVE: To study the effectiveness of Domiciliary Treatment in severely malnourished children. METHOD: This is a prospective study conducted on 25 severely malnourished children, carried out in the Department of Pediatrics, Shyam Shah Medical College and Gandhi Memorial Hospital, Rewa (M.P), during the period of one year from July 2007 to June 2008. INTERVENTION: Treatment was carried out at home by parents under adequate supervision. They were educated about the nutrition need of the child and how to prepare energy and nutrient dense food. They were also educated to provide sensory stimulation, emotional support, and structured play therapy. Regular follow-up was done for 16 week. RESULTS: Domiciliary treatment of severe uncomplicated malnutrition appears to be satisfactory. Moderate weight gain was observed (Mean rate of weight gain 8.36+2.42gms/kg/day). 40% children could achieve their target weight for length. CONCLUSION: Domiciliary treatment with adequate supervision can be recommended for children with uncomplicated SAM.