33 pages, This study surveyed 258 organic grain farmers in Iowa in the U.S. Midwest. We identified seven areas of challenges related to organic grain farming adoption: organic farming operations, marketing, policy, finance, inputs and information, social pressures, and land tenure. Respondents reported three key areas where extension programs were needed: education, research, and technical services. Regarding outreach formats, organic farmers preferred events where peers were featured or provided leadership, such as field days, one-on-one mentor programs, and farmer-to-farmer workshops. Results provided empirical evidence to support theoretical discussions and policy implications on issues related to adoption of organic grain farming.