Information systems (IS) departments face many challenges in today’s rapidly changing environment. One approach to understanding these challenges is to survey IS managers to elicit what they consider are key issues. Studies of key IS management issues have been conducted for some years in many nations and regions. However, most of these surveys lack a theoretical basis for the selection of key issues. Furthermore, most studies have used a single-round or a multi-round Delphi method. This chapter provides an overview of research approaches to key issues studies combined with key issues results from previous research. The chapter presents methodological issues and choices for a survey on key issues in IS management which was conducted in Norway. A three step procedure for key issues selection is introduced, and a Q-sort analysis is adopted. The chapter presents results from the Q-sort survey and analysis. The highest ranked key issue in Norway, according to the survey, is concerned with improving links between information systems strategy and business strategy.