To date, little research has focused solely on rural students' adjustment and integration on campus after admittance into elite universities through special admission policies. This qualitative inquiry aims to uncover the adjustment concerns faced by rural students enrolled through special admission policies in elite universities in China. The study findings are discussed and analyzed in Bernstein's conceptual framework. The study revealed that students were mainly faced with two kinds of concerns, academic and social-cultural. The findings of this study have important implications for faculty and administrators at prestigious universities in China. As the elite universities commit themselves to recruiting more rural students, attention must be paid on how to best support and incorporate rural students into the lives of these campuses. It is important to develop a friendlier and more inclusive ethos in elite universities in China.