As the human population has grown and expanded, increasing pressure is being put on natural habitats in Sri Lanka. This situation has led to a noticeable increase in human-primate conflicts. To understand the situation, we studied the interactions between humans and macaques in three administrative divisions of the Kurunegala District. Data was gathered from 875 informants through interviewer-administered questionnaires between 2020 and 2022. The monthly economic loss by commercial farmers due to macaque damage to fruits and vegetables doubled by 2022, amounting to approximately 5000 LKR. In non-fruiting seasons, losses from coconut damage increased, ranging from 3000 to 14,000 LKR/month, decreasing by over 50% during fruiting seasons. Property damage per household averaged between 850~4000 LKR/month. A cost of approximately 1200~3000 LKR was borne per household/month to deter monkeys from the fields. Macaques were the primary culprits for crop damage in this area, and were also responsible for property damage, surpassing that of other animals. The consensus among the community is that either relocating macaques to other forested areas or sterilizing them to control their population could mitigate the issue to some extent. An integrated management plan involving relevant stakeholders including the Forest Department, the Wildlife Conservation Department, the local agricultural agency, and local citizens is necessary to address the conflict arising from human-macaque crop utilization.