CVD are the leading cause of mortality and morbidity worldwide. One of the key dietary recommendations for CVD prevention is reduction of saturated fat intake. Yet, despite milk and dairy foods contributing on average 27 % of saturated fat intake in the UK diet, evidence from prospective cohort studies does not support a detrimental effect of milk and dairy foods on risk of CVD. The present paper provides a brief overview of the role of milk and dairy products in the diets of UK adults, and will summarise the evidence in relation to the effects of milk and dairy consumption on CVD risk factors and mortality. The majority of prospective studies and meta-analyses examining the relationship between milk and dairy product consumption and risk of CVD show that milk and dairy products, excluding butter, are not associated with detrimental effects on CVD mortality or risk biomarkers that include serum LDL-cholesterol. In addition, there is increasing evidence that milk and dairy products are associated with lower blood pressure and arterial stiffness. These apparent benefits of milk and dairy foods have been attributed to their unique nutritional composition, and suggest that the elimination of milk and dairy may not be the optimum strategy for CVD risk reduction.Milk: Dairy products: CVD: Blood pressure: Serum lipids CVD remains the leading cause of morbidity and mortality worldwide. The WHO estimated that 17·3 million people in the world died from CVD in 2008, including 7·3 million from CHD, and 6·2 million from strokes (1) . There are a number of modifiable risk factors for CVD, such as high levels of serum LDL-cholesterol (LDL-C), hypertension, diabetes, overweight/obesity, smoking, low physical activity and diet. Indeed, diets that are rich in SFA and trans fatty acids (TFA) are associated with an increased risk of CVD, and it is largely agreed that this is due, in the most part, to increased serum LDL-C (2) . Furthermore, evidence from pharmacological studies show that lowering LDL-C by an average of 1·8 mmol/l (by use of statins) reduces risk of IHD and stroke by 60 and 17 %, respectively (3) . Despite this, the relationship between SFA and CVD risk remains controversial (4) . The UK dietary guidelines recommend <10 % of total energy intake from SFA, but according to the most recent National Diet and Nutrition Survey consumption of SFA is above these recommendations, at 11·9 % of total energy intake (5) . Milk and dairy products contribute about 27 % of SFA intake in the UK diet (5) . However, evidence from a number of prospective cohort studies show that consumption of milk and other dairy products (excluding butter) are not consistently associated with an increased risk of CVD. Milk is a unique and complex food that is nutritionally complete for the sustenance of young mammals. Milk consumption in most mammals ceases soon after weaning, this coincides with down-regulation of the gene *Corresponding author: Professor J. A. Lovegrove, fax +44 (0)118 931 0080, email j.a.lovegrove@reading.ac.uk Abbreviations: BP, ...