Backdoor attacks embed hidden malicious behaviors inside deep neural networks (DNNs) that are only activated when a specific "trigger" is present on some input to the model. A variety of these attacks have been successfully proposed and evaluated, generally using digitally generated patterns or images as triggers. Despite significant prior work on the topic, a key question remains unanswered: "can backdoor attacks be physically realized in the real world, and what limitations do attackers face in executing them?" In this paper, we present results of a detailed study on DNN backdoor attacks in the physical world, specifically focused on the task of facial recognition. We take 3205 photographs of 10 volunteers in a variety of settings and backgrounds and train a facial recognition model using transfer learning from VGGFace. We evaluate the effectiveness of 9 accessories as potential triggers, and analyze impact from external factors such as lighting and image quality. First, we find that triggers vary significantly in efficacy and a key factor is that facial recognition models are heavily tuned to features on the face and less so to features around the periphery. Second, the efficacy of most trigger objects is. negatively impacted by lower image quality but unaffected by lighting. Third, most triggers suffer from false positives, where non-trigger objects unintentionally activate the backdoor. Finally, we evaluate 4 backdoor defenses against physical backdoors. We show that they all perform poorly because physical triggers break key assumptions they made based on triggers in the digital domain. Our key takeaway is that implementing physical backdoors is much more challenging than described in literature for both attackers and defenders and much more work is necessary to understand how backdoors work in the real world.