The article briefly summarizes seven challenges that faces the Seventh Day Adventist (SDA) tertiary institutions in the Caribbean. There is no exhaustive discussion of the challenges but each is clearly articulated. There is no attempt to address solution but the discussion of each challenge, however, provides opportunity for several inferences that may begin the dialogue for solution. The purpose of SDA education is stated and the understanding of that purpose within a highly multicultural religious context is given some attention. Two English speaking universities, Northern Caribbean University, in Jamaica, and University of the Southern Caribbean, in Trinidad and Tobago, provide the reference from which the seven challenges are drawn. The Seven challenges are: Survival of SDA tertiary schools in the Caribbean, competition with government universities, financial stability, the brain drain, religious balkanization, politics within church organization and the need for curriculum reformation.