Peach is an introduced crop with a relatively short production and breeding history in the U.S. The peach industries have been facing declines and challenges in both production and breeding activities over the past decades. Understanding of the statuses and issues facilitates gaining insights and finding solutions. This presentation is to provide an overview of U.S. peach production and breeding, including trends, issues, and prospects. Both U.S. peach acreage and production are declining, but market values increasing. Public peach breeding programs were established at the early time and helped establish considerable production in many states. But most of them have been terminated, phased out, or de-emphasized, largely due to declining production and economic impact. Taken into consideration all factors, visionary peach horticulture research and breeding solutions for some cost-related and yield-limiting production issues are essential for profitable and sustainable peach production in the future.