diff --git a/src/cairo-image-surface.c b/src/cairo-image-surface.c
index cd80aedd8..d25cb967f 100644
--- a/src/cairo-image-surface.c
+++ b/src/cairo-image-surface.c
@@ -1193,7 +1193,7 @@ _cairo_image_surface_set_clip_region (void *abstract_surface,
 {
     cairo_image_surface_t *surface = (cairo_image_surface_t *) abstract_surface;
 
-    if (! pixman_image_set_clip_region (surface->pixman_image, &region->rgn))
+    if (! pixman_image_set_clip_region32 (surface->pixman_image, &region->rgn))
 	return _cairo_error (CAIRO_STATUS_NO_MEMORY);
 
     surface->has_clip = region != NULL;
diff --git a/src/cairo-region-private.h b/src/cairo-region-private.h
index 4e2d72389..53c1e8a05 100644
--- a/src/cairo-region-private.h
+++ b/src/cairo-region-private.h
@@ -44,7 +44,7 @@
 /* #cairo_region_t is defined in cairoint.h */
 
 struct _cairo_region {
-    pixman_region16_t rgn;
+    pixman_region32_t rgn;
 };
 
 cairo_private void
diff --git a/src/cairo-region.c b/src/cairo-region.c
index d78628ecf..746b3b192 100644
--- a/src/cairo-region.c
+++ b/src/cairo-region.c
@@ -40,14 +40,14 @@
 void
 _cairo_region_init (cairo_region_t *region)
 {
-    pixman_region_init (&region->rgn);
+    pixman_region32_init (&region->rgn);
 }
 
 void
 _cairo_region_init_rect (cairo_region_t *region,
 			 cairo_rectangle_int_t *rect)
 {
-    pixman_region_init_rect (&region->rgn,
+    pixman_region32_init_rect (&region->rgn,
 			     rect->x, rect->y,
 			     rect->width, rect->height);
 }
@@ -57,13 +57,13 @@ _cairo_region_init_boxes (cairo_region_t *region,
 			  cairo_box_int_t *boxes,
 			  int count)
 {
-    pixman_box16_t stack_pboxes[CAIRO_STACK_ARRAY_LENGTH (pixman_box16_t)];
-    pixman_box16_t *pboxes = stack_pboxes;
+    pixman_box32_t stack_pboxes[CAIRO_STACK_ARRAY_LENGTH (pixman_box32_t)];
+    pixman_box32_t *pboxes = stack_pboxes;
     cairo_int_status_t status = CAIRO_STATUS_SUCCESS;
     int i;
 
     if (count > ARRAY_LENGTH(stack_pboxes)) {
-	pboxes = _cairo_malloc_ab (count, sizeof(pixman_box16_t));
+	pboxes = _cairo_malloc_ab (count, sizeof(pixman_box32_t));
 	if (pboxes == NULL)
 	    return _cairo_error (CAIRO_STATUS_NO_MEMORY);
     }
@@ -75,7 +75,7 @@ _cairo_region_init_boxes (cairo_region_t *region,
 	pboxes[i].y2 = boxes[i].p2.y;
     }
 
-    if (!pixman_region_init_rects (&region->rgn, pboxes, count))
+    if (!pixman_region32_init_rects (&region->rgn, pboxes, count))
 	status = _cairo_error (CAIRO_STATUS_NO_MEMORY);
 
     if (pboxes != stack_pboxes)
@@ -87,13 +87,13 @@ _cairo_region_init_boxes (cairo_region_t *region,
 void
 _cairo_region_fini (cairo_region_t *region)
 {
-    pixman_region_fini (&region->rgn);
+    pixman_region32_fini (&region->rgn);
 }
 
 cairo_int_status_t
 _cairo_region_copy (cairo_region_t *dst, cairo_region_t *src)
 {
-    if (!pixman_region_copy (&dst->rgn, &src->rgn))
+    if (!pixman_region32_copy (&dst->rgn, &src->rgn))
 	return _cairo_error (CAIRO_STATUS_NO_MEMORY);
 
     return CAIRO_STATUS_SUCCESS;
@@ -102,18 +102,18 @@ _cairo_region_copy (cairo_region_t *dst, cairo_region_t *src)
 int
 _cairo_region_num_boxes (cairo_region_t *region)
 {
-    return pixman_region_n_rects (&region->rgn);
+    return pixman_region32_n_rects (&region->rgn);
 }
 
 cairo_int_status_t
 _cairo_region_get_boxes (cairo_region_t *region, int *num_boxes, cairo_box_int_t **boxes)
 {
     int nboxes;
-    pixman_box16_t *pboxes;
+    pixman_box32_t *pboxes;
     cairo_box_int_t *cboxes;
     int i;
 
-    pboxes = pixman_region_rectangles (&region->rgn, &nboxes);
+    pboxes = pixman_region32_rectangles (&region->rgn, &nboxes);
 
     if (nboxes == 0) {
 	*num_boxes = 0;
@@ -154,7 +154,7 @@ _cairo_region_boxes_fini (cairo_region_t *region, cairo_box_int_t *boxes)
 void
 _cairo_region_get_extents (cairo_region_t *region, cairo_rectangle_int_t *extents)
 {
-    pixman_box16_t *pextents = pixman_region_extents (&region->rgn);
+    pixman_box32_t *pextents = pixman_region32_extents (&region->rgn);
 
     extents->x = pextents->x1;
     extents->y = pextents->y1;
@@ -165,7 +165,7 @@ _cairo_region_get_extents (cairo_region_t *region, cairo_rectangle_int_t *extent
 cairo_int_status_t
 _cairo_region_subtract (cairo_region_t *dst, cairo_region_t *a, cairo_region_t *b)
 {
-    if (!pixman_region_subtract (&dst->rgn, &a->rgn, &b->rgn))
+    if (!pixman_region32_subtract (&dst->rgn, &a->rgn, &b->rgn))
 	return _cairo_error (CAIRO_STATUS_NO_MEMORY);
 
     return CAIRO_STATUS_SUCCESS;
@@ -174,7 +174,7 @@ _cairo_region_subtract (cairo_region_t *dst, cairo_region_t *a, cairo_region_t *
 cairo_int_status_t
 _cairo_region_intersect (cairo_region_t *dst, cairo_region_t *a, cairo_region_t *b)
 {
-    if (!pixman_region_intersect (&dst->rgn, &a->rgn, &b->rgn))
+    if (!pixman_region32_intersect (&dst->rgn, &a->rgn, &b->rgn))
 	return _cairo_error (CAIRO_STATUS_NO_MEMORY);
 
     return CAIRO_STATUS_SUCCESS;
@@ -185,7 +185,7 @@ _cairo_region_union_rect (cairo_region_t *dst,
 			  cairo_region_t *src,
 			  cairo_rectangle_int_t *rect)
 {
-    if (!pixman_region_union_rect (&dst->rgn, &src->rgn,
+    if (!pixman_region32_union_rect (&dst->rgn, &src->rgn,
 				   rect->x, rect->y,
 				   rect->width, rect->height))
 	return _cairo_error (CAIRO_STATUS_NO_MEMORY);
@@ -196,25 +196,25 @@ _cairo_region_union_rect (cairo_region_t *dst,
 cairo_bool_t
 _cairo_region_not_empty (cairo_region_t *region)
 {
-    return (cairo_bool_t) pixman_region_not_empty (&region->rgn);
+    return (cairo_bool_t) pixman_region32_not_empty (&region->rgn);
 }
 
 void
 _cairo_region_translate (cairo_region_t *region,
 			 int x, int y)
 {
-    pixman_region_translate (&region->rgn, x, y);
+    pixman_region32_translate (&region->rgn, x, y);
 }
 
 pixman_region_overlap_t
 _cairo_region_contains_rectangle (cairo_region_t *region, cairo_rectangle_int_t *rect)
 {
-    pixman_box16_t pbox;
+    pixman_box32_t pbox;
 
     pbox.x1 = rect->x;
     pbox.y1 = rect->y;
     pbox.x2 = rect->x + rect->width;
     pbox.y2 = rect->y + rect->height;
 
-    return pixman_region_contains_rectangle (&region->rgn, &pbox);
+    return pixman_region32_contains_rectangle (&region->rgn, &pbox);
 }