The interviews sought to determine what influenced the prosecutors to accept or not accept a case for prosecution. The participants included 19 white males and 1 white female; their average age was 45.5 years. Results revealed a relationship between rural Kentucky prosecutors' decisions to accept a case and the availability of physical evidence, victim's age and competence, potential trauma inflicted on the victim, and the situation in which the allegation of sexual abuse originated. Findings can enable police officers and multidisciplinary teams to understand better what evidence is needed for prosecutor acceptance and eventual conviction in child sexual abuse cases. In addition, future research is needed regarding demographics of felony prosecuting attorneys and their opinions on what is sufficient evidence, on jury perceptions of child sexual abuse, and other topics. List of cases cited and 41 references