Although virtually unknown in Europe since the widespread adoption of artificial insemination (AI), infection by the sexually transmitted protozoan parasite Tritrichomonas foetus (Fig. 1) results in substantial economic losses throughout the major cattle-rearing areas of the world where natural breeding is relied upon. Infection by T. foetus is increasingly recognized as a significant cause of bovine infertility. In this review, Alex Yule, Susan Skirrow and Robert BonDurant summarize the current knowledge of bovine trichomoniasis and the problems of diagnosis and control of this economically important disease.