UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                                -----------------



                                    FORM 8-K


                                 CURRENT REPORT


                     Pursuant to Section 13 or 15(d) of the
                         Securities Exchange Act of 1934

        Date of report (Date of earliest event reported): April 18, 2003


                                ----------------

                          First Midwest Financial, Inc.
             (Exact name of registrant as specified in its charter)


                                 ---------------


    Delaware                          0-22140                 42-1406262
(State or other jurisdiction of   (Commission File)          (IRS Employer
incorporation or organization)         Number             Identification No.)

                       Fifth at Erie, Storm Lake, IA 50588
               (Address of principal executive offices)(Zip Code)


       Registrant's telephone number, including area code: (712) 732-4117
                                                          -------------------






                                TABLE OF CONTENTS

Item 7. Financial Statements, Pro Forma Financial Information and Exhibits.

Item 9.  Regulation  FD  Disclosure  (information  furnished  in this  Item 9 is
         furnished under Item 12).

Signatures

Exhibit Index

Exhibit 99.1






Item 7. Financial Statements, Pro Forma Financial Information and Exhibits.

     (c) Exhibits.

          The following Exhibit is being furnished herewith:

          99.1 Registrant's Press Release, dated April 18, 2003.

Item 9.  Regulation  FD  Disclosure  (information  furnished  in this  Item 9 is
         furnished under Item 12).

     In accordance with Securities Exchange Commission Release No. 33-8216,  the
following information, which is intended to be furnished under Item 12, "Results
of Operations and Financial Condition," is instead being furnished under Item 9,
"Regulation FD  Disclosure."  This  information  shall not be deemed "filed" for
purposes of Section 18 of the  Securities  Exchange Act of 1934, as amended (the
"Exchange Act"), or incorporated by reference in any filing under the Securities
Act of 1933, as amended, or the Exchange Act.

     On April 18, 2003, the  Registrant  announced the results of operations and
financial  position as of, and for the second  quarter ended March 31, 2003. The
press release is attached hereto as Exhibit 99.1 and is  incorporated  herein by
reference.






                                    SIGNATURE

     Pursuant to the  requirements  of the Securities  Exchange Act of 1934, the
Registrant  has duly  caused  this  report  to be  signed  on its  behalf by the
undersigned hereunto duly authorized.



                                     FIRST MIDWEST FINANCIAL, INC.

                                     By: /s/ Donald J. Winchell
                                     ---------------------------
                                     Donald J. Winchell
                                     Senior Vice President, Treasurer and Chief
                                     Financial Officer

Dated:  April 28, 2003






                                  Exhibit Index
                                  -------------

Exhibit
Number                     Description of Exhibit
- ------                     ----------------------

99.1              Registrant's Press Release dated April 18, 2003






                                                                  Exhibit 99.1


                   [First Midwest Financial, Inc. Letterhead]





                                           FOR IMMEDIATE RELEASE
                                           Contact: Investor Relations
                                           Telephone: 712.732.4117


          FIRST MIDWEST FINANCIAL, INC. REPORTS SECOND QUARTER EARNINGS

(Storm Lake, Iowa - April 18, 2003) First Midwest reports net income of
$915,000, or $.37 per diluted share, for the 2003 fiscal year second quarter
ending March 31, 2003. This compares to net income of $448,000, or $.18 per
diluted share, during the same period last year. Net income for the first six
months of the 2003 fiscal year totaled $1,759,000, or $.71 per diluted share
compared to $885,000, or $.36 per diluted share, during the same period last
year.

Net interest income for the first six months of the 2003 fiscal year increased
$1,805,000, or 28.8 percent, compared to the same period last year. The increase
reflects the Company's 28 percent growth in checking and money market accounts
and a higher percentage of originated commercial loans, both of which
contributed to wider net interest margins.

The Company opened its fourth Des Moines bank in November 2002. Startup costs
associated with this new office and with the Company's third Des Moines bank,
opened in November 2001, contributed to an increase in noninterest expense for
the first six months of the current fiscal year compared to the same period last
year.




Shareholders of record on March 14, 2003, received a quarterly cash dividend of
13 cents per share. This dividend was paid on April 1, 2003. The company has
paid regular quarterly cash dividends since the first dividend paid on January
5, 1995.

At March 31, 2003, assets of First Midwest totaled $739 million. Shareholders'
equity totaled $45.3 million, or $18.16 per common share outstanding. First
Midwest is the holding company for First Federal Savings Bank of the Midwest and
Security State Bank. All three companies had capital ratios well in excess of
regulatory requirements at March 31, 2003.

During this quarter, First Midwest shares traded between $15.88 and $17.16. The
stock of First Midwest Financial, Inc. trades on the Nasdaq National Market
under the symbol "CASH".



Corporate Profile: First Midwest Financial, Inc. is the holding company for
First Federal Savings Bank of the Midwest, headquartered in Storm Lake, Iowa,
and for Security State Bank, headquartered in Stuart, Iowa. First Federal
Savings Bank operates as a thrift with four divisions: First Federal Storm Lake,
Brookings Federal Bank, Iowa Savings Bank, and First Federal Sioux Falls.
Security State Bank operates as a state-chartered commercial bank. Sixteen
offices support customers throughout northwest and central Iowa, and in
Brookings and Sioux Falls, South Dakota.

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