The chapter reviews trends and reasons for increased private schooling and tutoring in South Asia, and the systemic implications and governance strategies to tackle this proliferation. Focusing primarily on the most recent 5 years of academic and gray evidence, I find that Bangladesh, India, Nepal, Pakistan, and Sri Lanka have experienced substantial growth in private tutoring. Private provision has grown due to a lack of adequate public supply. Parental demand for private schooling and increasingly tutoring is based on perceptions of better quality and interest in seeking a competitive advantage. Some systemic implications include concerns of equity and that the "shadow" system of private tutoring can begin to overshadow or supplant regular schooling. Regulatory systems in the region require significant reconsideration, given implementation challenges of existing regulations, and the growth and diversification of the private tutoring system.