Xanthomonas campestris pv. musacearum, the causal agent of Xanthomonas wilt of banana (XW), does not infect or cause symptom development in all physically attached shoots in an infected mat. Incomplete/partial systemicity and latent infections often occur. The single diseased stem removal (SDSR, the removal of only symptomatic plants) technique depends on these observations. The SDSR technique, as an alternative or complementary practice to complete mat uprooting (CMU) for XW control, was evaluated at eight XW pilot sites in eastern Democratic Republic ofCongo as a novel control option. This technique is low- cost, simple and easily applicable. Within one month, XW plant incidence at the experimental sites declined to below 10%, while within three and 10 months declined to below 2% and 1%, respectively. Restoration of banana plots was observed even in plots that initially had over 80% plant disease incidence. CMU removes a larger portion of the inoculum in a field but is very tedious, time consuming and costly in terms of labour and lost production, due to the premature cutting of symptomless plants that potentially could bear a bunch. CMU can potentially prevent further spread when XW appears for the first time on a farm or location. The choice of CMU relative to SDSR also depends largely on farming objectives. CMU can be carried out in intensive and market-oriented production systems, whose ultimate target is eradication, for example, in South- Western Uganda. In contrast, SDSR is more appealing to subsistence-oriented production, such as in eastern DR Congo, Burundi or central Uganda, whose target is more oriented towards management/control. SDSR can be suggested where access to clean planting material is difficult, thus could be recommended to a very large percentage of small-scale farmers in the currently affect- ed banana-based production systems in east and central Africa.