To describe differences in the diagnosis and management of fetal growth restriction (FGR) in Latin America and the Caribbean (LAC) region. An anonymous web survey was sent to 156 obstetricians in LAC region. The survey assessed screening strategies, definition, and clinical management of FGR. Results are presented as ratio (%) and the odds ratio of healthcare resources and neonatal survival was analysed according to country economic income. 100 answered the survey. Among the respondents, 83% had over 5 years of experience. For the definition of SGA, 50% answered to use EFW < 10th centile, while 44% required the presence of both, EFW and AC < 10th centile. There was an agreement in using an EFW < 3rd centile or umbilical artery Doppler to discriminate between SGA and FGR (95% and 92%, respectively). Notably, 49% did not consider MCA Doppler as an isolated parameter to indicate delivery in SGA fetuses. Finally, we found large variability in Fetoplacental Doppler availability and one-month neonatal survival according to the country economic income. The diagnosis and management of FGR vary between hospitals in LAC region, and there is a need to develop guidelines considering the availability of resources in the middle- and low-income countries. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.