Total Quality Management (TQM), has been accepted globally as a management philosophy and practice to improve quality. However, only limited empirical studies have been carried out in manufacturing Small and Medium-sized Enterprises (SMEs) in the Gulf countries. The primary concern for the manufacturing SMEs in the Middle East who want to compete in the global market is that many competitors have been involved in quality improvement programs for decades which initially give them a competitive edge. This research is designed to identify the current level of TQM implementation in manufacturing SMEs in the Gulf States and investigate the TQM and Continuous Improvement (CI) parameters that affect the performance of the companies, and to identify the barriers that stop them from implementing TQM in their company. The main objectives are to determine the influencing factors and response to TQM implementation within manufacturing SMEs through empirical analysis and propose a TQM model that is more suitable for Arab SMEs to improve the quality management.