Objective: To report on college student opinions about the scope of college sexual misconduct (CSM), suggested university sanctions, and treatment of students found responsible of CSM. Participants: In all, 23 US undergraduate students (14 females and 9 males) with a mean age of 20 years. Methods: Students participated either in female, male, or mixed-sex focus groups that facilitated the discussion of factors related to CSM. Results: Students provided in-depth feedback on the climate on US college campuses and factors related to CSM. They agreed upon CSM risk factors and context characteristics, but raised different male and female issues across sex groups. They further provided resolute suggestions for the solution of CSM, experienced treatment barriers, and limited victim reporting. Conclusion: Student focus groups provide important information about the scope of CSM and offer valuable suggestions for the solution of the problem that may be crucial for the development of successful sexual assault interventions.