The district comprises of four regions and sixteen zones. There are 91 Lions Clubs with 1711 active members.
Region A
| ZONE 1 | ZONE 2 | ZONE 3 | ZONE 4 |
| Barwell & Earl Shilton Bedworth Coventry Godiva Coventry Leofric Coventry Mercia Hinckley Burbage Nuneaton | Northampton Northampton Eighty Rugby Rokeby Rushden & District Towcester & District Wellingborough & District | Blaby & District Leicester Charnwood Leicester Host Melton Mowbray Oadby & Wigston Rutland | Bushby Corby & District Harborough Twenty Kettering & District Lutterworth Thurnby |
Region B
| ZONE 5 | ZONE 6 | ZONE 7 | ZONE 8 |
| Aldridge & District Bilston & Willenhall Dudley Kingswinford-Stourbridge Walsall Wolverhampton | Birmingham Acocks Green Birmingham Chinatown Birmingham Handsworth Birmingham Moseley & Kings Heath Sandwell Sutton Coldfield and Erdington | Balsall Common Birmingham Exhibition Castle Bromwich & District Knowle & Dorridge Marston Green & District Shirley Solihull | Kenilworth Shakespeare Southam Stour Valley Warwick Wellesbourne |
Region C
| ZONE 9 | ZONE 10 | ZONE 11 | ZONE 12 |
| Bromsgrove Droitwich Kidderminster & District Malvern Hills Redditch Worcester | Chepstow and Caldicot Forest of Dean Monmouth Newport Ross on Wye Severn Dean | Cheltenham Cotswold Fosseway Lechlade & District Tetbury | Bristol Brunel Chipping Sodbury Dursley Thornbury Wotton under edge |
Region D
| ZONE 13 | ZONE 14 | ZONE 15 | ZONE 16 |
| Aberystwyth Fishguard and Goodwick Pembroke & Pembroke Dock Tenby and District | Ammanford Carmarthen Glantawe Swansea Valley Gower & Llwchwr Estuary Swansea | Abertillery Bridgend Caerffili Cardiff Llantwit Major & Cowbridge Porthcawl | Black Mountains Brecon Hereford Kington |