This document summarizes the findings of a survey of over 100 small and medium enterprises (SMEs) and mid-caps on their foreign exchange (FX) hedging practices. It finds that while most respondents experienced FX losses or gains over $1 million in 2012, only around half hedge their FX exposure. The main reasons for not hedging included high costs, complexity, and collateral requirements. Most respondents felt that banks charged excessive and opaque fees for FX hedging products. Ongoing financial regulations were also expected to further increase costs and reduce access to hedging in the future.