Implementing a fertility protocol such as Double-Ovsynch (DO) in commercial dairy farms represents an opportunity to improve reproductive performance. However, no studies have tested this protocol nor identified factors that impact the first service conception rate (1SCR) in technified farms in the highlands of western Mexico. The objective was to identify factors that impact 1SCR in cows synchronized with the DO protocol. Records from 4759 cows synchronized for their first service with the DO protocol were used. To identify the factors that impact 1SCR, multiple logistic regression analyses were performed with the main effects: days in milk to first service, milk production at the peak of lactation, parity, calving assistance, service season of the year, sex of the calf, retained fetal membranes, metritis, and stillborn calf. The factors identified for 1SCR were the linear effect of days in milk to first service, service season, parity, retained fetal membranes, and metritis (P<0.05). Cows artificially inseminated during the summer had lower 1SCR compared to cows bred at other seasons of the year (P<0.05). The service season with the highest 1SCR was winter, with 42.5% (P<0.05). Multiparous cows showed a lower 1SCR compared to primiparous cows (29.9 and 47.3%, respectively; P<0.001). Cows with retained fetal membranes or cows with metritis had a lower 1SCR than those without these pathologies (P<0.05). In conclusion, multiparous cows, retained fetal membranes, metritis, and the summer service season are factors that negatively impact the 1SCR in cows synchronized with the DO protocol.