The objective of this paper is to discuss the acceptance of municipal wastewater sludge on land in the United States. Application to land has been an economical disposal method for cities and a means of increasing soil productivity. Use of land for sludge disposal is increasing. Although recent research and demonstration projects have produced information needed for proper design of land application systems, the availability of the information does not always cause rural communities to accept municipal sludge. Case histories are related to show that rural-urban cooperation, technically sound planning, and educational activities help gain acceptance of landspreading.