Sustainable smallholder farming is contingent on fertilizer access. Soils across Africa are typically nutrient deficient, a condition exacerbated by long-term nutrient mining. Nitrified urine fertilizer is a nutrient-rich and hygienically safe solution derived from human urine. It has the potential to provide a sustainable source of soil nutrients to low and middle-income countries struggling with food insecurity challenges. This study presents findings of a survey that assessed public acceptance within Msunduzi, Kwazulu-Natal, South Africa towards the use of nitrified urine fertilizer. Results indicate that in general attitudes were much more positive towards the use of nitrified urine fertilizer than raw urine as a soil amendment. Residents living within rural zones of the municipality (78.5%), as opposed to urban (65.7%) and peri-urban (65.2%), and younger individuals within the sampled population were found to be the most receptive to the use of nitrified urine fertilizer. Our findings also underscore the complex set of factors that shape attitudes towards a topic such as the use of human waste as a fertilizer, which are crucial in shaping the legitimacy of an emerging technology such as urine nitrification.