Qualitative meta-studies have emerged as a promising methodology within organization and management studies for synthesizing larger bodies of qualitative research. Despite much progress, the challenges and choices researchers face when conducting a qualitative meta-study remain unclear. In this paper, we identify seven core challenges and the respective choices researchers have in addressing these challenges. In doing so, we provide researchers with essential arguments to evaluate the various trade-offs they face when conducting a qualitative meta-study. We further outline two archetypical forms of a qualitative meta-study following either an integrative or an emancipatory purpose.