Farmers often regard pesticides to be the primary solution to boost their crop productivity, but the farmers increasing dependence on pesticides has attracted little attention in Cameroon. The increased crop productivity is especially appreciated by the small scale farmers, but there is also increasing concern expressed about the health effects of pesticide use within the communities. This study was performed to determine the degree and types of pesticide use, the Buea farmer's reliability on chemicals to control pests, and to assess the knowledge and perception of farmers on pesticide effectiveness and potential health risks.