This publication considers the issue of sexual assault from a rural perspective, offering information about the prevalence of rural sexual assault by examining national data as well as information from several states. In general, it suggests that rural sexual assault may be more prevalent than indicated by national data, and that in order to provide effective services in rural areas a culturally sensitive approach must be adopted. Finally, it offers comments, insights and some best practices by rural advocates who know the barriers faced by sexual assault survivors in rural areas. Of specific note are thoughts on training, awareness and community outreach, community collaboration, media outreach, program identity and empowerment.