This study was conducted to assess farmers’ adoption decisions of soil and water conservation practices in Lege-Lafto Watershed, Dessie Zuria District, South Wollo, Ethiopia. Data were collected from 304 farmers using household survey, and through focus group discussions, key informant interviews, and field observation. Binary Logistic regression model and descriptive statistics were used to analyze the data. The results indicated that about 64% of the farmers adopted soil and water conservation practices in their plot of land. The findings depict soil bund, stone bund, stone-faced soil bund, loose stone and brush-wood check dams, hillside terrace and bund stabilized with vegetation are the types of soil and water conservation technologies which are practiced in the study area. The analysis result revealed adoption of soil and water conservation practices in the study area is significantly and positively influenced by the perception of farmers on erosion problem and SWC practices, family labour, education level, and membership in local institutions. However, distance from residence to the nearest market and farmland, off-farm activities, and the ratio of cultivable land to family size influenced the adoption of SWC practices negatively. Therefore, improving farmers’ education status, strengthening local institutions, and empowering their members are vital for sustainable land management practices in the country.