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A review of organic pig production in Greece was carried out. The aim was to present updated information on the production, development and health status of organic pig farming in Greece and potential prospects for sustainability and future development. The indigenous Greek Black Pig is the main breed reared in Greek organic pig farms. All the reasons why Greek Black Pig breeding is ideal for organic farming are mentioned. Furthermore, respiratory and parasitic infections are the most common health problems, while high piglet mortality rates are the main welfare issue in Greek organic pig farming. Concerns about how farmers and authorities should utilize the demands of modern consumers are discussed.