Imports of cut flowers into the United States have doubled in the last 20 years and come mainly from Colombia and Ecuador. We surveyed the cut flower industry in South and Central America, focusing on Colombia and Ecuador, to determine their production and postharvest problems. We received a total of 51 responses, of which 62% of the respondents had 100 or more employees. The most commonly grown or handled crops were rose (Rosa hybrids), carnation (Dianthus caryophyllus), chrysanthemum (Chrysanthemum ×grandiflorum), alstroemeria (Alstroemeria cultivars), gerbera (Gerbera jamesonii), and hydrangea (Hydrangea species), in order of ranking. The most significant production problem was insect management, with disease management and crop timing the next most important issues. The most important species-specific issues in production were phytosanitary problems, disease (causal organism not specified), leaf miner (Lepidoptera, Symphyta, or Diptera), and thrips (Thysanoptera). The main overall postharvest problem was temperature management, followed by hydration and flower food management and botrytis (Botrytis cinerea). In regard to on-farm postharvest handling, damage to the flowers was the most mentioned issue. For the postharvest during storage and transport phase, temperature management, air transport, damage, and botrytis were the most important problems. The most mentioned customer complaints were damage, botrytis, and phytosanitary problems. The results of this survey can be used by researchers to focus their work on topics of most need. Improved production and postharvest handling will support the continued growth of the cut flower industry.