The 2010–11 Liga Alef season saw Maccabi Umm al-Fahm (champions of the North Division) and Hapoel Jerusalem (champions of the South Division) win the title and promotion to Liga Leumit.
At the bottom, the bottom two clubs in each division, Maccabi Kafr Qara, Hapoel Ramot Menashe Megiddo (from North division), Hapoel Tzafririm Holon and Shimshon Bnei Tayibe (from South division) were all automatically relegated to Liga Bet, whilst the two clubs ranked in 14th place in each division, Ironi Sayid Umm al-Fahm and Hapoel Nahlat Yehuda entered a promotion/relegation play-offs, and both relegated to Liga Bet after losing the play-offs.
Second and third placed clubs played single match at home against the fourth and fifth placed clubs in their respective regional division.
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Hapoel Asi Gilboa and Hapoel Afula (from North division) and Maccabi Kiryat Malakhi and Maccabi Kabilio Jaffa (from South division) advanced to the second round.----
The winners of the first round played single match at home of the higher ranked club (from each regional division).
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Hapoel Asi Gilboa and Maccabi Kabilio Jaffa advanced to the third round.----
Hapoel Asi Gilboa and Maccabi Kabilio Jaffa faced each other for a single match in neutral venue. the winner advanced to the fourth round against the 14th placed club in Liga Leumit.
Maccabi Kabilio Jaffa advanced to the fourth round.----
Maccabi Kabilio Jaffa faced the 14th placed in 2010–11 Liga Leumit Hakoah Ramat Gan. the winner on aggregate earned a spot in the 2011–12 Liga Leumit. The matches took place on May 26 and 31, 2011.
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Hakoah Ramat Gan won 3–2 on aggregate and remained in Liga Leumit. Maccabi Kabilio Jaffa remained in Liga Alef.
The 14th placed club in Liga Alef North, Ironi Sayid Umm al-Fahm, faced the Liga Bet play-offs winner, F.C. Givat Olga. the winner earned a spot in the 2011–12 Liga Alef.
Ironi Sayid Umm al-Fahm relegated to Liga Bet.
The 14th placed club in Liga Alef South, Hapoel Nahlat Yehuda, faced the Liga Bet play-offs winner, Ortodoxim Lod. the winner earned a spot in the 2011–12 Liga Alef.
Hapoel Nahlat Yehuda relegated to Liga Bet.