There are a large and growing number of patients needing evidenced-based audiologic care in rural areas. According to the 2016 US Census, there were 46.2 million adults over the age of 65, with 10.6 million living in rural areas. Research indicates as many as half of adults over the age of 75 will experience a hearing loss, while vertigo and/or dizziness may affect 70% of adults aged 65 or older, creating a growing need for specialty healthcare services. These staggering numbers present vital opportunities for audiologists to improve hearing and balance quality of life in rural areas. During this presentation, personal experiences will be shared to show how private practice audiologists can thrive in rural environments by working in a very specific field or to their full scope of practice, including hiring medical (ENT) support personnel. By the end, attendees will be optimistic and passionate to open a practice, or second location in under-served areas around the United States.