We present initial results from observations of the low-mass X-ray binary E
XO 0748-67 with the Reflection Grating Spectrometer on board the XMM-Newton
Observatory. The spectra exhibit discrete structure due to absorption and
emission from ionized neon, oxygen, and nitrogen. We use the quantitative c
onstraints imposed by the spectral features to develop an empirical model o
f the circumsource material: This consists of a thickened accretion disk wi
th emission and absorption in the plasma orbiting high above the binary pla
ne. This model presents challenges to current theories of accretion in X-ra
y binary systems.