Waukesha County Executive Paul Farrow has died at the age of 61 following a courageous battle with a rare form of cancer, Waukesha County announced in a news release on July 8, 2026. His passing marks the end of a distinguished career in public service that spanned decades and left a lasting impact on Waukesha County and the state of Wisconsin.
“It is with great sadness that we share Waukesha County Executive Paul Farrow has lost his battle with cancer,” the county said in a statement. Throughout his illness, Farrow chose to publicly share updates on his treatment in hopes of encouraging and supporting others facing cancer.
Farrow was diagnosed with Stage 4 mucinous adenocarcinoma, a rare type of cancer, in September 2024. Despite the diagnosis, he remained committed to his responsibilities as county executive while undergoing chemotherapy, often working during treatment sessions at Ascension SE Wisconsin Hospital – Elmbrook Campus in Brookfield.
After completing chemotherapy, Farrow underwent cytoreductive surgery in March 2025. Two months later, he announced there was no evidence of disease. However, the cancer returned later that year. In November 2025, he revealed that a biopsy had confirmed its recurrence, and by February 2026, he had begun immunotherapy and biologic treatments while continuing to lead the county.
During his battle with cancer, Farrow became an advocate for cancer awareness, encouraging others to seek support and openly discuss their experiences.
“There are many people dealing with cancer,” Farrow said following his diagnosis. “This is my opportunity to talk about this, and we can reach out for help.”
In recognition of his dedication to public service, Farrow received the Tommy G. Thompson Distinguished Public Leadership Award in 2025. The award honors Wisconsin leaders who have demonstrated exceptional leadership, promoted responsible public policy, and devoted themselves to serving the public.
Farrow was first elected Waukesha County Executive in 2015 and was reelected in 2019 and 2023. Before assuming the county’s highest office, he served in both the Wisconsin State Assembly and the Wisconsin Senate, where he also held the position of Senate Assistant Majority Leader.
A longtime Republican leader, Farrow also served as chairman of the Republican Party of Wisconsin from 2021 to 2022 and was active in the Waukesha County GOP for many years. Prior to entering politics, he built a successful career as a small business owner in the home services industry and worked in consulting and marketing.
Following news of his passing, tributes poured in from leaders across Wisconsin, regardless of political affiliation.
County Board Chairman Jim Heinrich described Farrow as “a devoted public servant, a steady leader, and a proud champion for Waukesha County.”
Republican Party of Wisconsin Chairman Brian Schimming called him “a true leader who embodied the values of hard work, integrity, and service,” adding that his legacy would continue to inspire future generations of Wisconsin conservatives.
Former Governor Scott Walker remembered Farrow as “a great man” whose joy, optimism, and dedication to public service made him an outstanding leader.
Democratic leaders also honored Farrow’s legacy. Milwaukee County Executive David Crowley praised his willingness to collaborate across political lines, noting that although they often disagreed politically, they worked together on regional issues such as economic development and combating the opioid epidemic.
Wisconsin Governor Tony Evers also paid tribute, describing Farrow as “a good, kind, and principled person who cared deeply about his community and our state.”
Following Farrow’s death, County Board Chairman Jim Heinrich will serve as acting county executive while assuming the responsibilities of the office. County officials said the board will appoint an interim executive within 30 days, and a special election will be held to fill the remainder of Farrow’s term.
Paul Farrow was the son of the late Margaret Farrow, Wisconsin’s first female lieutenant governor, whom he often credited as his inspiration for entering public service. He was a graduate of Marquette University High School and earned his bachelor’s degree from Carroll College, now Carroll University.
He is survived by his wife, Amy, their sons, and other family members, friends, colleagues, and countless residents whose lives he touched through his decades of public service.
Paul Farrow will be remembered as a dedicated public servant, respected leader, cancer advocate, and devoted family man whose commitment to Wisconsin and its communities leaves a lasting legacy. May he rest in peace.