The eleventh annual EDUCAUSE Current Issues Survey shows some very familiar themes among the top-ten IT issues of strategic importance to technology leaders in higher education. Indeed, all ten of the issues from the 2009 survey are back, albeit in a slightly different order. In addition, Strategic Planning returns as an issue of renewed importance after a two-year hiatus (there are actually eleven issues on the list this year, since two issues tied for sixth place). However, even though the issues remain basically the same, the underlying context of why these issues are on the list, and the impacts that the issues are having on IT leaders, differ this year. This article presents the top-ten IT-related issues in terms of strategic importance to the institution, as revealed by the eleventh annual EDUCAUSE Current Issues Survey. (Contains 10 notes.)