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Dairy cows are highly motivated to access pasture, especially at night in summer. When pasture is not available, dairy cows show a partial preference for alternative types of outdoor access, spending half the night outside in summer on an outdoor sand or wood chip pack. However, many dairy farms do not provide cows outside access. To better understand reasons why dairy farmers choose to provide or not provide outdoor access, we studied the perspectives of dairy farmers located in the 4 Western Canadian provinces: British Columbia, Alberta, Saskatchewan, and Manitoba. Data were collected via (1) 11 focus group discussions with a total of 50 Western Canadian dairy farmers, and (2) semi-structured individual interviews with 6 dairy farmers of Hutterite colonies. Transcripts were analyzed using template analysis. Reasons to not provide outdoor access fell into 5 main themes: (1) adverse climate conditions, (2) negative implications of outdoor access for cow welfare including concerns about udder health, (3) concerns regarding decreases in profitability, (4) farm infrastructure not set up for outdoor access, and (5) higher ability to manage animals kept indoors. Reasons to provide outdoor access fell into the 5 main themes: (1) local climate conditions conducive for outdoor access, (2) beneficial effects of outdoor access on cow welfare including lower lameness prevalence, (3) increased profitability due to a premium milk price provided to farmers that allow pasture access to their cows, (4) farm infrastructure that is set up for outdoor access, and (5) easier management of animals outdoors. We conclude that the decision to provide outdoor access depends on how farmers weigh these factors given the constraints on their farm, as well as their personal beliefs and values., (Copyright © 2021 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.)