This chapter assesses the potential of farmer-to-farmer extension (F2FE) as a low-cost approach for promoting CSA. It is based on surveys of extension program managers and farmer-trainers in Cameroon, Kenya and Malawi who are involved in promoting a wide range of agricultural practices, including CSA. In the F2FE approach, extension programs provide education for farmer-trainers, who in turn educate other farmers, typically 17–37 per year. Extension program managers find this approach to be effective in boosting their ability to reach large numbers of farmers.