There is no doubt that the proliferation of mobile phones in developing regions has opened up a range of possibilities and new avenues for individuals, governments, development agencies and civil society organisations. But we also know that development is a disputed concept and conveys a range of different connotations. Therefore in this chapter we examine the areas, where mobile phones are discussed as vehicles for development (i.e. M4D), and how mobile communication is related to the idea(s) of development today. To examine this, we have reviewed M4D articles in three major conference series and open source journals during 2008-2012. Three dominant areas of M4D emerge out of our sample: livelihood, health and civic participation. We find that M4D is largely based on an economic understanding of development and biased towards techno-determinism. We conclude this chapter by suggesting a future path for studying the impact of mobile communication in developing regions, something what we label as a dialectical approach.