This paper focuses on the similarities and differences between contemporary urban organisation and that of the 1960s in Guatemala City and other Latin American cities, mainly using data taken from a re-study of low-income neighbourhoods in Guatemala City. It looks at the impact of sharper patterns of residential segregation, changes in migration patterns, rising levels of crime and violence, and the increase in the relationships of the urban poor with external actors, such as governments and NGOs. Severe inequality persists, but is mediated by an improvement in living standards, by the range of consumer goods accessible to the poor, and by community- and family-based adaptation.