Establishing the proper arrangement of internal organs is critically important during development, and defects in this process can lead to serious and even lethal birth defects. While the left-right (L/R) anatomical handedness in C. elegans was originally found to be essentially invariant in the laboratory N2 strain, we have observed that the L/R arrangement of the gonad and gut is frequently reversed under some environmental conditions in N2 and in many of the ~100 wild isolates examined. In some strains, up to ~11% of males show complete reversal in L/R gut/gonad arrangement, while in others, reversals were never seen. GWAS analysis revealed at least two regions of the genome responsible for these reversals in males. We also found that hermaphrodites of some strains show partial L/R reversals ("heterotaxy") of only the anterior or only the posterior gonad arm, with a small fraction of these animals showing complete reversals involving both arms. Variation in this phenotype across the wild isolates ranged from 0% to ~10% total reversals of all three types in hermaphrodites. Surprisingly, we found that the propensity for reversals in males and hermaphrodites is not significantly correlated across the isolates, indicating that the genetic basis for L/R reversals is independent in the two sexes. Analysis of 99 RILs generated from two strains at the extreme ends of the distribution of the hermaphrodite phenotypes (N2, 0% reversals, MY16, 10% reversals) revealed that the phenotype is multigenic and provided evidence of transgressive segregation, with one RIL showing ~20% reversals. QTL analysis is being performed to assess the genetic complexity and causal basis for this variation in handedness. Preliminary evidence suggests that the reversals in hermaphrodites may in part be traced back to an embryonic event, during which the developing gut undergoes a L/R asymmetric twist in comma-stage embryos (*Hermann et al., 2000), consistent with our finding that
lin-12 mutants, which do not undergo normal gut twist, show frequent L/R gut/gonad reversals. Thus, variations in the anatomical handedness among wild isolates may reflect varying fidelity in the mechanism controlling the rotation of gut cells during mid-embryogenesis.