Abstract: Objective: To study the prevalence of musculoskeletal complaints and disorders in a rural area in Iran. Materials and Methods: Interviews were conducted in randomly selected subjects from 5 villages in Tuyserkan County, North Western part of Iran. The 3 phases of stage 1 COPCORD (Community Oriented Program for Control Of Rheumatic Diseases) were done during the same day. Results: A total of 614 houses was visited, 1565 persons interviewed and 1192 persons examined. Musculoskeletal complaints during the past 7 days were detected in 66.6% (shoulder 22.7%, wrist 17.4%, hands and fingers 14.9%, hip 13.9%, knee 39.2%, ankle 19.6%, toes 12.7%, cervical spine 17.9%, and dorso-lumbar spine 41.9%). Degenerative joint diseases were detected in 20.5% (cervical spondylosis 2.2 %, knee osteoarthritis (OA) 19.3%, hand OA 2.7%, and hip OA 0.13). Low back pain was detected in 23.4%, soft tissue rheumatism in 2.2%, rheumatoid arthritis 0.19%, ankylosing spondylitis 1.1%, systemic lupus erythematosus 0.06%, and Fibromyalgia in 0.06%. Conclusions: The prevalence of rheumatic complaints in rural Iran is very high and needs attention in the curricula of medical schools and in the planning of rural health care by the government.