Nutritional management of lactating dairy cows varies with type of production system, but an effective feeding system allows cows to achieve maximum intake of a properly balanced ration to optimize production, health, and reproduction. Specifi c feeding strategies are used by the different production systems, and diet formulation and feed delivery will be completely different for cows subjected to a grazing system compared with herds in total confi nement. As production per cow continues to increase with genetic selection and improvements in management, the need to provide the correct amount of nutrients and certain dietary compounds such as forage and fi ber become more critical, particularly during late gestation and early lactation. Dairy cows in early lactation undergo a period of negative nutrient balance, which can be exacerbated by diseases or external factors that impair feed intake. Formulating diets that maximize nutrient intake in the fi rst weeks postpartum not only improves yields of milk and milk components, but also minimizes losses of body reserves and reduces the risk of postparturient health problems. This is critical because a large component of the success of a nutritional program of a dairy herd relies on feeding cows to minimize health problems. Similarly, as production declines with advancing lactation, so do the nutrient needs of the cow; therefore, tailoring the diet according to feed intake, level of production, and stage of lactation becomes critical to optimize nutrient utilization, reduce feed costs, and minimize the impact of production on the environment.Dairy Production Medicine, First Edition. Edited by Carlos A. Risco, Pedro Melendez Retamal.