Research shows that rural students face increasing challenges to academic, social-emotional, and career success. An understanding of student culture, background, and needs is required for a school counselor to advocate for all students. Research into the needs of rural students is lacking when compared to other populations. Research suggests that poverty, geographic isolation, cultural isolation, lack of school and community resources, and barriers to educational success as factors influencing the development and success of rural students. This article reviews the available literature and provides suggestions for the direction of future school counseling research.