Problems with hoof health (lameness in cows) is among the biggest irritations of dairy farmers – the costs of lost milk production, additional labour, veterinarian visits, involuntary culling, and lower fertility quickly add up. Via management and nutrition, many hoof issues can be prevented, or at least minimized. But… breeding is also offering more and more possibilities. After Scandinavia and the Netherlands, Canada and Germany also recently introduced official indexes for hoof health.