The Mid-Term Review of the Quality of Democracy in Pakistan, covering the period of March 25, 2008 to September 24, 2010, is an assessment of the quality of democracy in Pakistan that has been compiled as a result of the assessment carried out by a diverse group of Pakistani citizens based on an international democracy assessment framework at the conclusion of the mid-term of the democratic Government in Pakistan after the February 2008 General Elections. The Report has been originally authored by PILDAT using the criteria developed by the International Institute of Democracy and Electoral Assistance. This is the first time that the Democracy Assessment framework has been used to evaluate democracy in Pakistan. This review, therefore, provides a baseline on the subject on a criteria that is internationally comparable. This review, to be carried out periodically in Pakistan by PILDAT, should therefore, be viewed as a work-in-progress. The framework used to assess the quality of democracy in Pakistan is a tool to promote democratic reform. The framework does not assess the government alone but assesses the entire society looking at how democratic is the country and society of which the government is a part. PILDAT, which has been producing annual State of Democracy reports since 2002, believes that after the restoration of the form of democracy through the February 2008 General Election, the society must strive to improve and strengthen it. It is a collective responsibility that democracy must deliver and succeed as poor quality of democracy may disappoint people and may lead to yet another failure and ‘derailment’ of democracy. PILDAT initiative to assess the quality of democracy in Pakistan is a modest yet significant effort to make democracy deliver and work. A Mid-Term Quality of Democracy Score Card based on the evaluation carried out by the individual members of the Democracy Assessment Group is also part of the Report.