Rural areas are at the grass-roots level to be given work priorities in comprehensive treatment on unbalanced sex ratio at birth.The situation of sex ratio at birth in rural areas directly determines the effectiveness of this work.This paper,with rural Shaanxi as research object,explores problems and challenges in this work,including understanding from the subject(family planning cadres) being not in place,behavior of the object(villagers) being passive,and work process being lack of standardization.The paper proposes policy suggestions on strengthening the training work,creating the environment of birth civilization,establishing the effective mechanisms and standardizing work procedures.