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