The city of Khairpur Tamewali is the tehsil headquarters which is administratively subdivided into 8 Union Councils. Khairpur Tamewali Tehsil's municipal administration is headed by the Tehsil Municipal Administrator while TMO's are also available to monitor developmental, sanitary, & infra-structure projects. The main administrative districts are: Khairpur Tamewali, Behli, Guddan, Inaiti, Israni, Jhandani, Kotla Qaim Khan and Syed Imam Shah
Khairpur Tamewali is used for military training purposes due to its geographical area. Most of the Desert area is under the control of the Pakistan Army, due to its graphical importance. A big Tehsil Headquarter Hospital (THQ) is available in the city which provides health care to every citizen of the city and nearby areas. Many small clinics and private hospitals are also available
