The rural residing combat veteran does have conflict with normalizing their experience and getting back to everyday life. The trauma experienced by exposure to combat can result in a multitude of mental health and reintegration issues, most common of these is Post Traumatic Stress Disorder (PTSD). This nonexperimental fixed quantitative research design study answered the research question on defining the perception of how combat veterans, returning to rural locations post combat, reintegrate as it relates to PTSD symptoms and levels of adjustment. Specifically, this study compared two groups of rural veterans and the results of a self-report on reintegration and PTSD. The two groups, rural combat veterans and a rural non-combat rural veterans, were administrated the Likert type Mississippi Combat-Related Scale for PTSD (M-PTSD), and a Participant Information Sheet. The purpose of this study was to gain a better understanding of rural residing combat veteran's reintegration process related to PTSD and adjustment post combat. Rural residing combat veterans are an under-served population regarding mental health services; including in the field of psychology. There are limited resources, options, and facilities available to provide services and support. Also, there is insufficient research conducted and there are under-examined aspects of this population. Findings contributed to the understanding of the unique issues that face rural residing veterans and inform best ways to assist them with reintegration. The rural combat veteran also shows unique features related to their reintegration experience as self-reported on the M-PTSD and the Participant Information Sheet. This information could be utilized as a basis for improving services necessary to treat the rural veterans as well as reintegration issues not yet recognized in the current veteran and PTSD literature.