The demographic and quantitative genetic aspects of consanguineous marriages are reviewed before epidemiologic principles are applied. Consanguineous unions range from cousin-cousin to more distant relatedness, and their prevalence varies by culture. The prevalence is highest in Arab countries. They are most common in groups that are poorly educated, have low socioeconomic status and are conservative, but they are declining with modernization. The prevalence rate of consanguineous marriages in the kingdom of Saudi Arabiais51.3% with an average inbreeding coefficient of 0.02265, which is high compared with many other countries. The most important variables affecting inbreeding are the regional background of the family (p<0.001) and the level of education, which is inversely associated with consanguineous marriage (p<0.001). The difference in perinatal and postnatal mortalities between consanguineous and non-consanguineous families is not significant. Consanguinity is measured by geneticists using the inbreeding coefficient, the mean consanguinity of a population, and the concept of genetic load. Recessive genes may be deleterious or beneficial if heterozygous in local conditions. Bayesian statistics can predict, by the coefficient of increase, the probability of diseases in an offspring as a function of consanguinity and disease characteristics. Inbreeding generally increases pre-reproductive mortality. Crude mortality increases with inbreeding in proportion to the mortality rate. Morbidity increases significantly with inbreeding in many diseases studies in many countries. Epidemiologic studies usually measure the effects of inbreeding in terms of genetic load, which is not readily translatable into morbidity and mortality. Family study and other methodological study design problems will be used to implement this study. Confounding is the most difficult problem in such studies, because of the difficulty in selecting non-inbred controls. This study will help to understand and develop a better consultation and education for patient and his/her family and their community.