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Calving difficulty is associated with cow mortality, calf loss, veterinary and labor costs, and causes delayed return to estrus and lower conception rate. Dystocia is common in heifers, and the frequency decreases with the increasing age of the cow. Farmers need to consider both genetics and management factors in an attempt to reduce dystocia. Calf birth weight, the pelvic area of the dam and their interrelationships are major determinants of dystocia. The weight of the calf is governed by genetic, environmental and management factors. Genetic factors include sex, length of gestation, breed, inbreeding, and genotype. Non-genetic factors include age and parity of the dam, nutrition of the dam during various phases of gestation, and environmental temperature and humidity. Dystocia management must begin with a selection of heifer for mating with respect to the body weight of heifers, body condition score (BCS) and dam’s pelvic area should be considered before heifer selection. Not only heifer selection but sire selection using an estimated breeding value for calving ease should also be considered to lessen the dystocia rate in a herd. A combination of culling heifers with small pelvic areas and using bulls reported to be calving ease sire may reduce dystocia significantly. Apart from all these factors, genomic selection for reducing calving difficulties is a new tool for dystocia management.