This is a summary of the presentations and discussion of Session 1.4, Health Services Delivery: A Critical Review of Experience, of the Conference, Health Aspects of the Tsunami Disaster in Asia, convened by the World Health Organization (WHO) in Phuket, Thailand, 04-06 May 2005. The topics discussed included issues related to health services delivery as pertaining to the responses to the damage created by the Tsunami. It is presented in the following major sections: (1) needs assessment; (2) coordination; (3) filling of gaps; (4) capacity building; and (5) lessons learned.