In China in 2016, 89% of farmers were cultivating less than two hectares of land. Of those, 78% were farming less than two-thirds of a hectare. Meeting smallholder farmers' farming needs is considered critical for the government to alleviate rural poverty and improve food security. The agricultural extension system is considered a major approach. Existing studies have shown that the top-down administrative mechanism of the extension system and its linear technology transfer model have led to mismatches between extension services and smallholder farmers' needs in China; however, limited studies have examined the alignment of extension services with smallholder farmers' needs. This study was designed to examine how well extension services align with smallholder farmers' farming needs in China, and how farmers meet their farming needs. This study employed the constructivism paradigm and the qualitative method as the research design. The snowball sampling technique was employed to guide the data collection process from provincial level to village level. To understand how the extension services operate, semi-structured in-depth interviews were conducted with agricultural and extension-related departments, organisations and stations at provincial, county and township levels. To understand farmers' perceptions of extension services and farming needs, semi-structured focus group discussions were conducted with smallholder rice farmers in 10 selected villages. Thematic analysis using both deductive and inductive logic and multiple staged coding were employed to guide the data analysis process. Findings showed that extension services sometimes met smallholder farmers' needs, and sometimes did not. From the extension services' perspective, non-tillage technology and direct seeding technology were rejected by most farmers because of its incompatibility with local conditions and existing practices. The pest and disease management service and soil testing technology had met many farmers' needs; however, farmers reported their limited accessibility. Findings also showed that extension officers at the local level had encountered challenges in providing satisfactory extension services to farmers; for example, non-extension works had occupied time that should have been spent on extension activities. Farmers' cooperatives had also failed to provide services to smallholder farmers because they were aimed at large-scale farming. From farmers' perspectives, to improve farming and solve farming problems, they employed sets of local knowledge and farming practices; for example, neutralising soil with limestone, removing rice leaffolder with brooms, and preventing apple snail with tea seed cake. The farmers identified their farming problems, outlined solutions and were in favour of informal small-scale trials. They saw agricultural input stores as reliable sources of extension advisory services because they were operated mainly by former extension officers.