Missouri has 114 counties, which each have their own trial courts. The Missouri Appeals Court is separated into three districts which review the decisions of those lower courts. If further appellate review is desired it is handled by the Missouri Supreme Court.
The three largest municipalities in Missouri are Kansas City, St. Louis, and Springfield.
Any concerns regarding the competency or ethics of your attorney should be made with the Office of Chief Disciplinary Counsel. To report an attorney mail a Missouri Complaint Form to 3335 American Avenue, Jefferson City, MO 65109.