In this case study, the current situation faced by coffee growers attempting to control coffee leaf rust (Hemileia vastatrix) in Hawaii is reported. CLR is considered the most devastating disease affecting coffee crops worldwide and was detected in Hawaii in 2020. Three small coffee farms from the South Kona district of Hawaii Island were selected. The goals of this case study were to: (1) assist coffee growers in the early detection of CLR incidence, and consequently support farmers with recommendations for control, (2) record agronomic information and management practices, and (3) estimate the cost to control CLR during 2021 and 2022 seasons. Low CLR incidence (<4%) was initially observed at all farms (January–June 2021), but increased as the harvest began, ending the season (December 2021) at 77%, 21% and 6% incidence at farms 1, 2 and 3, respectively. At the end of 2022 season (December), CLR incidence reached 43%, 20% and 3% at farms 1, 2 and 3, respectively. The number of sprays per season (5–10), the type of fungicides applied (preventive, curative), the timing of sprays, the efficacy of applications and weather conditions all played a role in determining the infection rates at each farm. Effective control of CLR is possible in Hawaii if the sprays of fungicides are carried out with the right products, appropriate timing and good coverage.