The Betel is the leaf of the vine. Betel leaf is a cash crop. In India, it is known as "paan". Betel Leaf cultivation is a type of agricultural activity that provides livelihood to rural farmers. Betel leaves are cultivated in the Cauvery basin areas of Namakkal district. This gives substantial income to the farmers. Namakkal district ranks first in betel leaf cultivation in Tamil Nadu. However on the dark side betel farmers are found to be facing various problems at the production and marketing level. Thus, an attempt has been made through the present study to study the betel leaf growers in Namakkal district of Tamil Nadu. Three blocks were purposively selected based on the highest production of betel leaf to make a sample size of 385. The collected problems were analyzed using Garret’s ranking methodology to develop a quantitative position of each problem. The findings show that production and marketing problems are very acute for betel growers. Among the production problems, heavy investment, no research station, no crop loans, excessive disease attack. Similarly, in the case of marketing problems, excessive commission, no regulated sales market, improper payments, improper bidding system etc. were ranked at top. As betel leaf cultivation is the main source of livelihood of the farmers, various policy measures by the central and state governments are urgently needed to overcome the difficulties.