Mycobacterium avium subsp. paratuberculosis causes paratuberculosis (Johne's disease) in ruminants in most countries. Historical data suggest substantial differences in culturability of M. avium subsp. paratuberculosis isolates from small ruminants and cattle; however, a systematic comparison of culture media and isolates from different countries and hosts has not been undertaken. Here, 35 field isolates from the United States, Spain, Northern Ireland, and Australia were propagated in Bactec 12B medium and Middlebrook 7H10 agar, genomically characterized, and subcultured to Lowenstein-Jensen (LJ), Herrold's egg yolk (HEY), modified Middlebrook 7H10, Middlebrook 7H11, and Watson-Reid (WR) agars, all with and without mycobactin J and some with sodium pyruvate. Fourteen genotypes of M. avium subsp. paratuberculosis were represented as determined by BstEII IS900 and IS1311 restriction fragment length polymorphism analysis. There was no correlation between genotype and overall culturability, although most S strains tended to grow poorly on HEY agar. Pyruvate was inhibitory to some isolates. All strains grew on modified Middlebrook 7H10 agar but more slowly and less prolifically on LJ agar. Mycobactin J was required for growth on all media except 7H11 agar, but growth was improved by the addition of mycobactin J to 7H11 agar. WR agar supported the growth of few isolates. The differences in growth of M. avium subsp. paratuberculosis that have historically been reported in diverse settings have been strongly influenced by the type of culture medium used. When an optimal culture medium, such as modified Middlebrook 7H10 agar, is used, very little difference between the growth phenotypes of diverse strains of M. avium subsp. paratuberculosis was observed. This optimal medium is recommended to remove bias in the isolation and cultivation of M. avium subsp. paratuberculosis.Mycobacterium avium subsp. paratuberculosis is the causative agent of Johne's disease of ruminants, which occurs in most countries. Usually it is an enteric infection with a long incubation period and progressively worsening granulomatous infiltration of the small and large intestines leading to weight loss and death. It is economically significant in farmed cattle, goats, sheep, and deer and is known to be capable of infecting a wide range of domesticated and free-living herbivores and occasionally also the carnivores that prey upon them (2, 4, 6, 15). Like many pathogenic mycobacteria, M. avium subsp. paratuberculosis is not host specific, and cross-species transmission is common where there are high contact rates. Although tissue colonization and histological lesions may occur, clinical disease in response to infection is rarely reported for nonruminant species, except for rabbits (2, 4). There is a long-standing debate about the role of M. avium subsp. paratuberculosis in chronic inflammatory bowel disease of humans, specifically Crohn's disease. Consequently, the isolation and cultivation of M. avium subsp. paratuberculosis are attempted in both vet...