The drop of 26 points in the child sex ratio in Rajasthan between 2001 and 2011 reveals that the prospects for human development in the state are bleak. Despite considerable pressure from civil society groups to implement the Pre-Conception and Pre- Natal Diagnostic Techniques (Prohibition of Sex Selection) Act, the pernicious trend of eliminating girls has continued. Unless immediate and stringent measures are taken, this may well lead to catastrophic consequences in the long term.