diff --git a/litellm/llms/sagemaker.py b/litellm/llms/sagemaker.py
index 8e75428bb..6892445f0 100644
--- a/litellm/llms/sagemaker.py
+++ b/litellm/llms/sagemaker.py
@@ -9,6 +9,7 @@ from litellm.utils import ModelResponse, EmbeddingResponse, get_secret, Usage
 import sys
 from copy import deepcopy
 import httpx  # type: ignore
+import io
 from .prompt_templates.factory import prompt_factory, custom_prompt
 
 
@@ -25,10 +26,6 @@ class SagemakerError(Exception):
         )  # Call the base class constructor with the parameters it needs
 
 
-import io
-import json
-
-
 class TokenIterator:
     def __init__(self, stream, acompletion: bool = False):
         if acompletion == False:
@@ -185,7 +182,8 @@ def completion(
         # I assume majority of users use .env for auth
         region_name = (
             get_secret("AWS_REGION_NAME")
-            or "us-west-2"  # default to us-west-2 if user not specified
+            or aws_region_name  # get region from config file if specified
+            or "us-west-2"  # default to us-west-2 if region not specified
         )
         client = boto3.client(
             service_name="sagemaker-runtime",
@@ -439,7 +437,8 @@ async def async_streaming(
         # I assume majority of users use .env for auth
         region_name = (
             get_secret("AWS_REGION_NAME")
-            or "us-west-2"  # default to us-west-2 if user not specified
+            or aws_region_name  # get region from config file if specified
+            or "us-west-2"  # default to us-west-2 if region not specified
         )
         _client = session.client(
             service_name="sagemaker-runtime",
@@ -506,7 +505,8 @@ async def async_completion(
         # I assume majority of users use .env for auth
         region_name = (
             get_secret("AWS_REGION_NAME")
-            or "us-west-2"  # default to us-west-2 if user not specified
+            or aws_region_name  # get region from config file if specified
+            or "us-west-2"  # default to us-west-2 if region not specified
         )
         _client = session.client(
             service_name="sagemaker-runtime",
@@ -661,7 +661,8 @@ def embedding(
         # I assume majority of users use .env for auth
         region_name = (
             get_secret("AWS_REGION_NAME")
-            or "us-west-2"  # default to us-west-2 if user not specified
+            or aws_region_name  # get region from config file if specified
+            or "us-west-2"  # default to us-west-2 if region not specified
         )
         client = boto3.client(
             service_name="sagemaker-runtime",
diff --git a/litellm/tests/test_provider_specific_config.py b/litellm/tests/test_provider_specific_config.py
index 08a84b560..c20c44fb1 100644
--- a/litellm/tests/test_provider_specific_config.py
+++ b/litellm/tests/test_provider_specific_config.py
@@ -512,6 +512,106 @@ def sagemaker_test_completion():
 
 # sagemaker_test_completion()
 
+
+def test_sagemaker_default_region(mocker):
+    """
+    If no regions are specified in config or in environment, the default region is us-west-2
+    """
+    mock_client = mocker.patch("boto3.client")
+    try:
+        response = litellm.completion(
+            model="sagemaker/mock-endpoint",
+            messages=[
+                {
+                    "content": "Hello, world!",
+                    "role": "user"
+                }
+            ]
+        )
+    except Exception:
+        pass  # expected serialization exception because AWS client was replaced with a Mock
+    assert mock_client.call_args.kwargs["region_name"] == "us-west-2"
+
+# test_sagemaker_default_region()
+
+
+def test_sagemaker_environment_region(mocker):
+    """
+    If a region is specified in the environment, use that region instead of us-west-2
+    """
+    expected_region = "us-east-1"
+    os.environ["AWS_REGION_NAME"] = expected_region
+    mock_client = mocker.patch("boto3.client")
+    try:
+        response = litellm.completion(
+            model="sagemaker/mock-endpoint",
+            messages=[
+                {
+                    "content": "Hello, world!",
+                    "role": "user"
+                }
+            ]
+        )
+    except Exception:
+        pass  # expected serialization exception because AWS client was replaced with a Mock
+    del os.environ["AWS_REGION_NAME"]  # cleanup
+    assert mock_client.call_args.kwargs["region_name"] == expected_region
+
+# test_sagemaker_environment_region()
+
+
+def test_sagemaker_config_region(mocker):
+    """
+    If a region is specified as part of the optional parameters of the completion, including as
+    part of the config file, then use that region instead of us-west-2
+    """
+    expected_region = "us-east-1"
+    mock_client = mocker.patch("boto3.client")
+    try:
+        response = litellm.completion(
+            model="sagemaker/mock-endpoint",
+            messages=[
+                {
+                    "content": "Hello, world!",
+                    "role": "user"
+                }
+            ],
+            aws_region_name=expected_region,
+        )
+    except Exception:
+        pass  # expected serialization exception because AWS client was replaced with a Mock
+    assert mock_client.call_args.kwargs["region_name"] == expected_region
+
+# test_sagemaker_config_region()
+
+
+def test_sagemaker_config_and_environment_region(mocker):
+    """
+    If both the environment and config file specify a region, the environment region is expected
+    """
+    expected_region = "us-east-1"
+    unexpected_region = "us-east-2"
+    os.environ["AWS_REGION_NAME"] = expected_region
+    mock_client = mocker.patch("boto3.client")
+    try:
+        response = litellm.completion(
+            model="sagemaker/mock-endpoint",
+            messages=[
+                {
+                    "content": "Hello, world!",
+                    "role": "user"
+                }
+            ],
+            aws_region_name=unexpected_region,
+        )
+    except Exception:
+        pass  # expected serialization exception because AWS client was replaced with a Mock
+    del os.environ["AWS_REGION_NAME"]  # cleanup
+    assert mock_client.call_args.kwargs["region_name"] == expected_region
+
+# test_sagemaker_config_and_environment_region()
+
+
 #  Bedrock