Aim: This report seeks to draw attention to, summarise, and make inferences from the "Good Health at Low Cost" studies for the area of disability and rehabilitation service delivery. Methods: Key findings from this series of important studies are identified. Based on reflection, potential implications for CBR and inclusive development systems in low and middle income countries are identified. Conclusions: These studies underscore the importance of organisational, political and systems thinking to improve service systems in low and middle income countries. They reinforce the importance of sustained and visionary political action and lobbying. They show that substantial improvements can be made to service systems despite limited resources. Implications: The advancement of CBR and disability-inclusive development is dependent on effective systems in low and middle income countries. Participatory research to inform such system strengthening is vital.