The use of anthelmintics is strongly limited in organic farming. This may induce a change in the intensity (no of worms) and diversity (proportions of species) of helminth infection. Helminths remain a major preoccupation in organic sheep farming: high levels of infection have been recorded on several farms and helminth diversity is always higher. The helminth infection in milk cattle of northern Europe is controlled and diversity is higher in organic farms, as recorded in sheep. The role of helminth diversity on intensity is still unclear. Grazing management is one of the means to controlling helminths. The use of safe pastures for calves and sheep after weaning is one of the major components of control. The use of alternate or mixed grazing is common for cattle in northern countries but is uncommon for sheep in France. Grazing management is not sufficient to controlling infection in sheep and conventional anthelmintic treatments are performed. Additionally, alternative treatments are used. The alternative therapies based on phytotherapy or homeopathy are largely recommended in organic farming but do not have any demonstrated efficacy. More research is needed to evaluate such therapies.