Inverse modeling is a useful tool in ground water flow modeling studies. The most frequent difficulties encountered when using this technique are the lack of conditioning information (e.g., heads and transmissivities), the uncertainty in available data, and the nonuniqueness of the solution. These problems can be addressed and quantified through a stochastic Monte Carlo approach. The aim of this work was to compare the applicability of two stochastic inverse modeling approaches in a field-scale application. The multi-scaling (MS) approach uses a downscaling parameterization procedure that is not based on geostatistics. The pilot point (PP) approach uses geostatistical random fields as initial transmissivity values and an experimental variogram to condition the calibration. The studied area (375 km2) is part of a regional aquifer, northwest of Montreal in the St. Lawrence lowlands (southern Québec). It is located in limestone, dolomite, and sandstone formations, and is mostly a fractured porous medium. The MS approach generated small errors on heads, but the calibrated transmissivity fields did not reproduce the variogram of observed transmissivities. The PP approach generated larger errors on heads but better reproduced the spatial structure of observed transmissivities. The PP approach was also less sensitive to uncertainty in head measurements. If reliable heads are available but no transmissivities are measured, the MS approach provides useful results. If reliable transmissivities with a well inferred spatial structure are available, then the PP approach is a better alternative. This approach however must be used with caution if measured transmissivities are not reliable.