Simple Summary Understanding the views and concerns of precision livestock farming (PLF) held by the key players in the US swine industry is particularly important for its widespread acceptability. Using a Q-methodology approach following initial individual in-depth interviews 6 months earlier, we found that while most stakeholders view PLF as good and beneficial to pigs and humans, some expressed concerns about its limitations and pitfalls. Specifically, stakeholders who are optimistic about PLF think it should augment but not replace effective management. They also think it will improve pig health, welfare, and make pig keepers' jobs simpler, safer, and better. However, stakeholders who are concerned about PLF view it as a poor proxy for farmers to keep an eye on the herd, see issues, and resolve them. They also believe PLF does little to lessen the negative effects of swine farming on the environment. We contend that competing perceived benefits and concerns about PLF may hinder widespread adoption.Abstract This study used the Q-methodology approach to analyze perceptions of precision livestock farming (PLF) technology held by stakeholders directly or indirectly involved in the US swine industry. To see if stakeholders' perceptions of PLF changed over time as PLF is a rapidly evolving field, we deliberately followed up with stakeholders we had interviewed 6 months earlier. We identified three distinct points of view: PLF improves farm management, animal welfare, and laborer work conditions; PLF does not solve swine industry problems; PLF has limitations and could lead to data ownership conflict. Stakeholders with in-depth knowledge of PLF technology demonstrated elevated levels of optimism about it, whereas those with a basic understanding were skeptical of PLF claims. Despite holding different PLF views, all stakeholders agreed on the significance of training to enhance PLF usefulness and its eventual adoption. In conclusion, we believe this study's results hold promise for helping US swine industry stakeholders make better-informed decisions about PLF technology implementation.