The Sierra Nororiental is one of the main coffee-growing regions in the state of Puebla, where the municipality of Hueytamalco stands out for its production and planted area. In recent years, production in this region has decreased considerably due to damage caused by coffee rust (Hemileia vastatrix). The objective was to know the management, incidence, and damage of coffee rust in the municipality of Hueytamalco, Puebla. Through statistical sampling, a sample of 67 coffee growers was determined. Fieldwork concluded in December 2018. Most producers reported the presence of rust on their farms. To manage the disease, they use different fungicides that are applied sporadically and without adequate technical assistance. Most producers think that the incidence of rust has increased and believe that this problem could increase significantly in the coming years. This situation has impacted the municipality’s coffee yields; nevertheless, coffee growers expressed interest in continuing with the crop.