Background. Trichinella infection is a foodborne zoonosis acquired mainly through undercooked pork. Direct evidence of infective larvae in pigs is scarce in Ghana, where earlier work relied largely on serology. Methods. In a cross-sectional study (April–September 2025), muscle from the tongue, diaphragm and masseter of 100 pigs slaughtered at three facilities in the Kumasi metropolis was pooled (10 g per pig) and examined for larvae by pepsin–HCl artificial digestion followed by stereomicroscopy. Management practices on 25 farms in five source communities were assessed with a semi-structured questionnaire and a direct-observation checklist. Results. Trichinella larvae were not detected in any of the 100 pigs (0/100; exact 95% CI 0–3.6%). The pigs were 62 females and 38 males of five breeds. Of the 25 farms, 23 (92%) used intensive and two (8%) semi-intensive systems; none was free-range. Environmental hygiene was rated best or better on 15 farms, good on nine and poor on one, and 23 farms (92%) reported regular deworming. Conclusions. No larvae were detected in pigs from predominantly confined, peri-urban production in Kumasi. With 100 pigs, the study can exclude only a prevalence above about 3.6%, and individual pigs were not traced to farms, so the husbandry findings are descriptive and do not explain the negative result. Targeted, larger surveillance of free-range pigs, where serological exposure has been reported, is the priority for Ghana.