Annual forages provide a valuable grazing resource for cattle producers; however, annuals are prone to accumulating nitrate and have the potential to cause nitrate toxicity.. Although these forages pose a risk of containing high nitrate concentrations, they can be a high-quality feed source. Understanding the factors that affect the potential for toxicity when using these forages is important to help nutritionists and producers make management decisions. This review describes the previous research, current guidelines for nitrate toxicity and the potential for improvement in our current recommendations. Current extension toxicity guidelines appear to be founded primarily on drenching based studies and overestimate the nitrate toxicity potential of forages. Recommendations need to account for multiple factors that affect the threshold for toxicity. There is evidence that fresh forages have a lower risk of toxicity because of slower release of nitrate into the rumen and a slower rate of DM intake. Increased dietary energy and sulfur content reduce the potential for toxicity. Microbial adaptation can reduce the risk and allow use of potentially toxic forages. These factors should influence feeding recommendations. However, there is currently not enough data available to establish new guidelines which account for these main factors. Thus, there is a need for renewed research in this area. The limited number of studies grazing elevated nitrate forages seems to suggest that there is less risk in grazing situations, especially if animals graze selectively. There is a need to develop guidelines for nitrate toxicity and management recommendations when grazing. To accomplish this there is a need for more studies to evaluate risk of toxicity in grazing situations. These grazing studies need to evaluate the effects of nitrate concentration, forage quality, and grazing management on the potential for nitrate toxicity. While the conservative guidelines that are currently in use reduce risk of nitrate toxicity, they may also cause a significant increase in feed costs for producers.