Eighty-seven children with 88 farm injuries presented to our emergency room in Rochester, Minn, from November 1974 to July 1985. Seventy-four accidents (84.1%) occurred in boys, and 14 (15.9%) in girls. Ages ranged from 1 to 16 years. Farm machines involved included corn augers in 37 accidents (42.0%); tractors, 22 (25.0%); power takeoffs, ten (11.4%); conveyor belts, five (5.7%); and miscellaneous, 14 (15.9%). Fractures and lacerations were the most common injuries, occurring in 55 (62.5%) and 30 (34.1%), respectively. Significant long-term disability occurred in 36 (40.9%). Eleven children required multiple reconstructive surgical procedures; two died. Preventive measures that can be employed by physicians, family members, educators, and legislators are discussed.