Family farming is strengthening its strategic role in school nutrition, but coordinating between school feeding programs and the agricultural sector has proven to be challenging. The goal of this review was to identify the problems that school feeding programs face in acquiring food from family farms. We selected studies from Web of Science, Medline/PubMed, and Scopus and evaluated their methodological quality. Out of 338 studies identified, 37 were considered relevant. We used PRISMA to guide the review process, and we chose not to limit the year or design of the study because it was important to include the largest amount of existing evidence on the topic. We summarized the main conclusions in six categories: local food production, marketing, and logistics channels, legislation, financial costs, communication and coordination, and quality of school menus. In general, the most critical problems emerge from the most fragile point, which is family farming, particularly in the production and support of food, and are influenced by the network of actors, markets, and governments involved. The main problems stem from the lack of investment in family farming and inefficient logistics, which can negatively impact the quality of school meals. Viable solutions include strategies that promote investment in agricultural policies and the organization of family farmers.