Significance Integrated pest management (IPM) has been the dominant crop protection paradigm promoted globally since the 1960s. However, its adoption by developing country farmers is surprisingly low. This article reports 51 potential reasons why, identified and prioritized by hundreds of IPM professionals and practitioners around the world. Stakeholders from developing countries prioritized different adoption obstacles than those from high-income countries. Surprisingly, a few of the obstacles prioritized in developing countries appear to be overlooked by the literature. We suggest that a more vigorous analysis and discussion of the factors discouraging IPM adoption in developing countries may accelerate the progress needed to bring about its full potential.