This document summarizes research on factors influencing the cultivation of medicinal trees by smallholder farmers in eastern Mount Kenya. The research assessed farmers' and herbalists' knowledge of medicinal species and perceptions of disease burden. It was found that farmers' knowledge of medicinal trees was influenced more by species they already knew than perceived disease importance. While herbalists preferred cultivating rare tree species, farmers in Mbeere were more influenced by seedling availability than markets. Most medicinal tree knowledge was passed down through families rather than herbalists. Although traders preferred obtaining materials from farms, wild harvesting remained prevalent, threatening biodiversity. Overall, the research identified opportunities to increase medicinal tree cultivation through improved seedling access and connecting