Regional balance in development refers to the proportional distribution of developmental activities so that it helps in balanced population distribution. There is increasing disparity among developing regions and their sub-regional components. Balanced regional development has been one of the agendas of the government of Nepal since the fourth plan, covering fiscal year (FY) 1970 - FY(1975). Government efforts for regional development have not been effective mainly due to an inadequate policy framework to implement the concept. This is due to both the region's intrinsic location faction and development approach that favours accessible ones. The central development region is covering the maximum length of road access. But, the far western region has minimum road access. Development planning has to encompass the resources, the approach should address their interrelationship determined by the type of land resource available, but Nepalese plans have entirely overlooked the aspect of land use. Therefore, land use optimizes the exploitation of regional resources. Since Nepal is now divided into seven provincial regions, a new plan with newer bases should be taken into considerations. The provinces seem to be made on the basis of ethno-economic basis. A kind of economic autonomy is being discussed among the policymakers to impart development policies in the provinces. There need balanced activities in the provinces as well.