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Working as farmers in the agricultural sector that involve physical labor can cause musculoskeletal diseases. Farmers tend to carry out continuous farming activities without interspersed with proper rest periods, which in the end they experience acute pain and cause discomfort in different parts of the body. Farming activities increase the risk of experiencing back pain caused by movements during the activity. The purpose of this study was to identify the prevalence and self-management of low back pain among farmers in Sukawati District, Gianyar Regency. This was a descriptive survey with a cross sectional design. Respondents were 337 farmers selected by multistage random sampling. Self-developed questionnaires were used to collect data. Majority of respondents were male (97.9%), age ranged 41-80 years. Prevalence of low back pain defined low back pain in the last year was 90.8%. Among respondents, 78.4% had moderate level of self-management, 20.6% indicated poor self-management, only 1% showed good level of self-management. Low back pain are common among farmers in Sukawati Distric. It is suggested that health care workers provide health education of prevention and management of low back pain.