Background: Early detection of developmental dysplasia of the hip (DDH) will prevent future complications on affected patients. We assessed the risk factors of DDH which are (family history, female gender, breech presentation, and being first child), average age of presentation, and DDH type, side distribution on our patients. The study took a place in a major hospital where patients are being referred to from all around Saudi Arabia. Methods: We have conducted a case series study on pediatric patients presented to King Saud Medical City with DDH from 1/1/2008 to 29/12/2013. Results: The number of patients identified was 395, 83% of them were females. Average age of presentation is 16.3 SD: 13.7 months. Among these patients, 36% had family history, 18% are first child, and 11% had breech presentation. Out of 395 patients, 40% had bilateral DDH, 31% and 29% had unilateral left and right, respectively. Out of 554 hips 204(37%) hips were diagnosed with acetabular dysplasia, 193 (35%) hips diagnosed with sublaxated hips, 138 (35%) hips were dislocated, and 19 (3%) were teratologic hips. Conclusion: This study was established due to insufficient data registered in Saudi Arabia about the risk factors of DDH, nor in the Middle East. Early management of developmental dysplasia of the hip (DDH) will prevent poor prognosis. Knowing the commonest risk factors of DDH in an area with other screening modalities will help in earlier detection.