Bolivia is the third largest producer of coca leaves, following Colombia and Peru. The plant, which has been a part of the Bolivian culture for thousands of years and is sometimes described as hoja milenaria, or leaf of millennia, is viewed by the U.S. as unnecessary and is the focus of eradication in the U.S. War against Drugs. The lives of Bolivian coca growers are mired in poverty: families live in remote areas in rudimentary wooden houses and entire families work the crops. The image presented of the common coca grower as a drug trafficker, or worse, narco-terrorist, is a gross misperception, based in part on a lack of understanding of the traditional and cultural significance of the coca leaf in Bolivia. It is also due to a failure to differentiate between coca and cocaine. The intent of this article is to provide a general overview of the legacy of coca in Bolivia.