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Air pollution is becoming a prominent social problem in fast-growing Asian economies. Taking the Bangkok Metropolitan Region (BMR) as a case, we conducted an observational study of fine particulate matter (PM_2.5) and acid deposition, consisting of their continuous monitoring at two sites. To find the major contributing sources of PM_2.5, the PM composition data were analyzed by a receptor modeling approach while the pollution load from BMR sources to the air was characterized by an emission inventory. Our data show generally alarming levels of PM_2.5 in the region, of which transportation and biomass burning are two major sources. In this paper, we present a general overview of our observational findings, contrast the scientific information with the policy context of air quality management in BMR, and discuss policy implications. In BMR, where a set of conventional regulatory instruments on air quality management are already in place, a solution for the air pollution problem should lie in a combination of air quality regulation and other policies, such as energy and agricultural policies.